Individual provider Active NPI

Martalina Soto Reyes

  • Clinical Social Worker
  • Arecibo, PR
National Provider Identifier
1306127642
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1041CO700X Issued in PR
Practice address
Carr 681 Calle 1 Islote 2 # 197
Arecibo, PR 00612-5313
Phone
(787) 201-6771
Fax
(787) 881-0508
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8974 PR
Clinical Social Worker 1041C0700X 1041CO700X PR Primary
Case Manager/Care Coordinator 171M00000X 8974 PR

Addresses

Primary practice location

Carr 681 Calle 1 Islote 2 # 197
Arecibo, PR 00612-5313

Mailing address

Carr 681
Arecibo, PR 00612-5313
Phone (787) 201-6771

Other identifiers 3

IdentifierTypeStateIssuer
2241013OtherPRLICENCE
2241013OtherPRLICENSE
8974OtherPRSOCIAL WORKER

Other names 1

  • Martalina Soto Reyes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000530 PR Practitioner - Clinical Social Worker 8527226034 Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1041CO700XPRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1306127642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 681",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125313",
            "telephone_number": "787-201-6771",
            "fax_number": "787-881-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 681 CALLE 1 ISLOTE 2 # 197",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125313",
            "telephone_number": "787-201-6771",
            "fax_number": "787-881-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO REYES",
        "first_name": "MARTALINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8974",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "1041CO700X",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PR",
            "license": "8974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "2241013",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2241013",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "8974",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTALINA",
            "last_name": "SOTO REYES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.