Cindy Sevilla Lebron
Individual provider Active NPI Clinical Social Worker · Ciales, PR
NPI 1336860709 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1336860709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 15166 (PR)
- Practice address
- Carretera 149 KM 13
Ciales, PR 00638-1427 - Phone
- (787) 871-0601
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Carr 2 KM
8 Bo Algarrobo
Vega Baja, PR 00693-0000
PO Box
Suite 1427
Ciales, PR 00638-1427
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616001214 | PR | Practitioner - Clinical Social Worker | 0648762369 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15166 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prymed Medical Care Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15166 | PR | Yes |
Addresses
Primary practice location
Carretera 149 KM 13
Ciales, PR 00638-1427
Mailing address
PO Box 1427
Ciales, PR 00638-1427
Phone (787) 871-0601
Other providers in Ciales, PR
- Laboratorio Clinico Expreso JVG
- Laboratorio Clinico Expresso JVG Inc
- Laboratorio Clinico Lomar Inc.
- Laboratorio Clinico Ocean Front Inc.
- Laboratorio Clinico Y Bacteriologico Ciales Inc
- Lizzette Lilliana Lespier
- Mercedes Lopez Taveras
- Aurora Teresa Lopez-Soler
- Sheila Lozada Ramos
- Jorge Manuel Machicote
All providers in Ciales, PR · Clinical Social Worker in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.