Individual provider Active NPI

Miriam Ivette Centeno Rivera, LSWC

  • Clinical Social Worker
  • Juana Diaz, PR
National Provider Identifier
1316835762
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11810 Issued in PR
Practice address
Valle Sereno
Calle Luna B-6
Juana Diaz, PR 00795-9324
Phone
(787) 988-9107
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 11810 PR Primary

Addresses

Primary practice location

Valle Sereno
Calle Luna B-6
Juana Diaz, PR 00795-9324

Mailing address

Valle Sereno
#32 Calle Amor
Juana Diaz, PR 00795
Phone (787) 988-9107

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

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1316835762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLE SERENO",
            "address_2": "#32 CALLE AMOR",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-988-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VALLE SERENO",
            "address_2": "CALLE LUNA B-6",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959324",
            "telephone_number": "787-988-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO RIVERA",
        "first_name": "MIRIAM",
        "middle_name": "IVETTE",
        "name_prefix": "Ms.",
        "credential": "LSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.