Individual provider Active NPI

Gerardo Mendez Rivera, SW

  • Clinical Social Worker
  • Humacao, PR
National Provider Identifier
1336053206
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17030 Issued in PR
Practice address
Urb. Ext San Antonio
Calle 10 L-12
Humacao, PR 00791
Phone
(787) 601-0083
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 17030 PR Primary

Addresses

Primary practice location

Urb. Ext San Antonio
Calle 10 L-12
Humacao, PR 00791

Mailing address

Urb. Ext San Antonio
Calle 10 L-12
Humacao, PR 00791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1336053206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. EXT SAN ANTONIO",
            "address_2": "CALLE 10 L-12",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. EXT SAN ANTONIO",
            "address_2": "CALLE 10 L-12",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-601-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ RIVERA",
        "first_name": "GERARDO",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.