Active NPI
Iris Jackson Moya, PHD
- Social Worker
- San Juan, PR
National Provider Identifier
1346350022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4838
- Practice address
- 864 Ashford Ave
Flamboyan Apts 506
San Juan, PR 00907 - Phone
- (787) 766-0940
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4838 | PR | Primary |
Addresses
Primary practice location
864 Ashford Ave
Flamboyan Apts 506
San Juan, PR 00907
Mailing address
864 Ashford Ave
Flamboyan Apts 506
San Juan, PR 00907
Phone (787) 766-0940
Other names 1
- Iris Margot Jackson
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4838 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346350022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "864 ASHFORD AVE",
"address_2": "FLAMBOYAN APTS 506",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-766-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "864 ASHFORD AVE",
"address_2": "FLAMBOYAN APTS 506",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-766-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON MOYA",
"first_name": "IRIS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "4838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRIS",
"last_name": "JACKSON",
"middle_name": "MARGOT",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.