Active NPI
Wanda Milagros Rodriguez Roman, MSW
- Clinical Social Worker
- San German, PR
National Provider Identifier
1316424500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12923
- Practice address
- 208 Calle Valencia
Urb Nueva Salamanca
San German, PR 00683-0068 - Phone
- (787) 445-8586
- NPI assigned
- Jul 20, 2018
- 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 | 12923 | PR | Primary |
Addresses
Primary practice location
208 Calle Valencia
Urb Nueva Salamanca
San German, PR 00683-0068
Mailing address
208 Calle Valencia
Urb Nueva Salamanca
San German, PR 00683
Phone (787) 445-8586
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1316424500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 CALLE VALENCIA",
"address_2": "URB NUEVA SALAMANCA",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-445-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CALLE VALENCIA",
"address_2": "URB NUEVA SALAMANCA",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830068",
"telephone_number": "787-445-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ ROMAN",
"first_name": "WANDA",
"middle_name": "MILAGROS",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "12923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
- Ilia I. Rodriguez Baez, PHD
- Caroline Rodriguez Ferrer, MD
- Ricardo Rodriguez Gonzalez, MSN
- Alondra I Rodriguez Martinez
- Kendra Ivette Rodriguez Perez
- Carlos Eduardo Rodriguez Sanchez, M.D.
- Melissa Rodriguez Sanchez, PHD
- Javier Elias Rodriguez Soto
- Damaris Rodriguez Torres, MD
- Jasly Marie Rodriguez Vega
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.