Individual provider Active NPI

Mariangely Segui Aviles

  • Clinical Social Worker
  • Aguada, PR
National Provider Identifier
1316540685
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14889 Issued in PR
Practice address
Calle Colon #4 Carr. 115 KM. 24.5
Edif. Aguada Complex 2DO Piso Suite 5
Aguada, PR 00602
Phone
(787) 609-6555
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14889 PR Primary

Addresses

Primary practice location

Calle Colon #4 Carr. 115 KM. 24.5
Edif. Aguada Complex 2DO Piso Suite 5
Aguada, PR 00602

Mailing address

HC 56 Box 4670
Aguada, PR 00602-8640
Phone (787) 942-8078

Other identifiers 1

IdentifierTypeStateIssuer
6008828MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CSV Health Information Exchange (HIE)

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
I20221128001365 PR Practitioner - Clinical Social Worker 4082082987 Practice locations: Aguada, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aps Clinics of Puerto Rico, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1316540685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 4670",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006028640",
            "telephone_number": "787-942-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE COLON #4 CARR. 115 KM. 24.5",
            "address_2": "EDIF. AGUADA COMPLEX 2DO PISO SUITE 5",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-609-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUI AVILES",
        "first_name": "MARIANGELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008828",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CSV",
            "affiliation": "N",
            "endpointDescription": "CSV",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Bo. Malpaso",
            "city": "Aguada",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.