NPIMap

Organization Active NPI

Clinica de Servicios Integradosn Etapas LLC

  • Clinical Social Worker
  • Utuado, PR
National Provider Identifier
1295563955
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLINICA DE SERVICIOS INTEGRADOSN ETAPAS LLC
Practice address
Carretera 123 K. 54.6 Interior
Barrio Salto Arriba, Utuado
Utuado, PR 00641
Phone
(787) 397-7387
NPI assigned
Jul 24, 2024
Last updated
Jul 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Authorized official

Name
Mrs. Elena Cuevas Montero, MSW
Title
Trabajadora Social Clinica
Phone
(787) 202-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

Carretera 123 K. 54.6 Interior
Barrio Salto Arriba, Utuado
Utuado, PR 00641

Mailing address

HC 4 Box 10014
Utuado, PR 00641-7901
Phone (787) 397-7387

National Provider Directory

National Provider Directory
Tax ID family
Clinica de Servicios Integradosn Etapas LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722124800000",
    "number": "1295563955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 10014",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006417901",
            "telephone_number": "787-397-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 123 K. 54.6 INTERIOR",
            "address_2": "BARRIO SALTO ARRIBA, UTUADO",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-397-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SERVICIOS INTEGRADOSN ETAPAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "CUEVAS",
        "authorized_official_title_or_position": "TRABAJADORA SOCIAL CLINICA",
        "authorized_official_telephone_number": "787-202-0616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.