Individual provider Active NPI

Karla Marie Berrios, MSW

  • Clinical Social Worker
  • Ponce, PR
National Provider Identifier
1326311648
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10902 Issued in PR
Practice address
609 Ave Tito Castro
Suite 102 PBM 380
Ponce, PR 00716-0200
Phone
(787) 292-7979
NPI assigned
Feb 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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 10902 PR Primary

Addresses

Primary practice location

609 Ave Tito Castro
Suite 102 PBM 380
Ponce, PR 00716-0200

Mailing address

609 Ave Tito Castro
Suite 102 PBM 380
Ponce, PR 00716-0200

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
I20150224000819 PR Practitioner - Clinical Social Worker 4587980214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10902PRMDIndependent Medical Examiner Physician

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": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1326311648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "SUITE 102 PBM 380",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "SUITE 102 PBM 380",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-292-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS",
        "first_name": "KARLA",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.