Individual provider Active NPI

Rita Cordova Campos, MSW ACSW

  • Social Worker
  • Bayamon, PR
National Provider Identifier
1275651085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1834 Issued in PR
Practice address
Road #2 Bayamon Shopping Center
Suite 10 E Mini Mall
Bayamon, PR 00959
Phone
(787) 798-9097
Fax
(787) 740-2559
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1834 PR Primary

Addresses

Primary practice location

Road #2 Bayamon Shopping Center
Suite 10 E Mini Mall
Bayamon, PR 00959

Mailing address

PO Box 607071
PMB 36
Bayamon, PR 00960-7071
Phone (787) 593-0647

Other identifiers 2

IdentifierTypeStateIssuer
117024OtherPRFHCHS OR PR
635OtherPRAPS HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1834PRMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275651085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607071",
            "address_2": "PMB 36",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607071",
            "telephone_number": "787-593-0647",
            "fax_number": "787-740-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD #2 BAYAMON SHOPPING CENTER",
            "address_2": "SUITE 10 E MINI MALL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-798-9097",
            "fax_number": "787-740-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA CAMPOS",
        "first_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "MSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "1834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHCHS OR PR",
            "identifier": "117024",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTHCARE",
            "identifier": "635",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.