Active NPI
Eileen Colon, MA SOCIAL WORK
- Clinical Social Worker
- Trujillo Alto, PR
National Provider Identifier
1306366869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8264
- Practice address
- Urb Colinas de Fairview Calle 223 4W27
Trujillo Alto, PR 00976 - Phone
- (787) 380-0096
- NPI assigned
- Jun 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8264 | PR | |
| Clinical Social Worker | 1041C0700X | 8264 | PR | Primary |
Addresses
Primary practice location
Urb Colinas de Fairview Calle 223 4W27
Trujillo Alto, PR 00976
Mailing address
Urb Colinas de Fairview Calle 223 4W27
Trujillo Alto, PR 00976
Phone (787) 380-0096
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8264 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306366869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB COLINAS DE FAIRVIEW CALLE 223 4W27",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-380-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB COLINAS DE FAIRVIEW CALLE 223 4W27",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-380-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "MA SOCIAL WORK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "8264",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "8264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.