Active NPI
Katia Yaritza Principe Pagan, MSW
- Clinical Social Worker
- Carolina, PR
National Provider Identifier
1295281939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13204
- Practice address
- Carr 856 KM 1 9 Carolina
Bo Barrazas 3 Sector Negro Pagan
Carolina, PR 00987 - Phone
- (787) 685-0968
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13204 | PR | Primary |
Addresses
Primary practice location
Carr 856 KM 1 9 Carolina
Bo Barrazas 3 Sector Negro Pagan
Carolina, PR 00987
Mailing address
HC 03 Box 12455
Carolina, PUERTO RICO 00987
UM
Phone (787) 685-0968
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13204 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1295281939",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "HC 03 BOX 12455",
"city": "CAROLINA",
"state": "PUERTO RICO",
"postal_code": "00987",
"telephone_number": "787-685-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 856 KM 1 9 CAROLINA",
"address_2": "BO BARRAZAS 3 SECTOR NEGRO PAGAN",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-685-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCIPE PAGAN",
"first_name": "KATIA",
"middle_name": "YARITZA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "13204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.