Carlos Rodriguez Sr., TRABAJADOR SOCIAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13457 Issued in PR

Practice address

Urb. Altagracia Calle Pavo Real
K-32
Toa Baja, PR 00949

Phone

(787) 458-6103

NPI assigned

May 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1285257832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ALTAGRACIA CALLE PAVO REAL",
            "address_2": "K-32",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-458-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. ALTAGRACIA CALLE PAVO REAL",
            "address_2": "K-32",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-458-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "TRABAJADOR SOCIAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DE CONDUCIR",
            "identifier": "2314185",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRABAJADOR SOCIAL",
            "identifier": "13457",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa Rodriguez Narvaez, SLP
• Ileana Rodriguez-Gonzalez, PHARMD.
• Marilya Rodriguez-Hernandez, RPH
• Angel Manuel Rodriguez
• Arianna Rodriguez
• Caroline Rodriguez, PSIC
• Cynthia Rodriguez
• Elaine Marie Rodriguez, M.S.
• Ismael Rodriguez, MSW
• Jose A Rodriguez

• Clinical Social Worker in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.