Organization Active NPI

Grupo de Servicios Fortaleza, Inc.

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1295976603
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8452 Issued in PR
Legal business name
GRUPO DE SERVICIOS FORTALEZA, INC.
Practice address
252 Calle Fortaleza
Viejo San Juan
San Juan, PR 00901-1780
Phone
(787) 721-7314
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Mr. Jari Rafael Moreno-Sanchez, MSWNPI 1750522157
Title
President
Phone
(787) 721-7314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 8452 PR Primary

Addresses

Primary practice location

252 Calle Fortaleza
Viejo San Juan
San Juan, PR 00901-1780

Mailing address

PO Box 9021477
San Juan, PR 00902-1477
Phone (787) 721-7314

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1295976603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9021477",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009021477",
            "telephone_number": "787-721-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE FORTALEZA",
            "address_2": "VIEJO SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011780",
            "telephone_number": "787-721-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO DE SERVICIOS FORTALEZA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "MORENO-SANCHEZ",
        "authorized_official_first_name": "JARI",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-721-7314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.