Active NPI
Diannette Reyes, MSW, LCSW
- Social Worker
- Humacao, PR
National Provider Identifier
1346798113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11533
- Practice address
- HC 4 Box 4354
Humacao, PR 00791 - Phone
- (787) 715-1260
- Fax
- (787) 715-3621
- NPI assigned
- Sep 21, 2016
- Last updated
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11533 | PR | |
| Social Worker | 104100000X | 11533 | PR | Primary |
Addresses
Primary practice location
HC 4 Box 4354
Humacao, PR 00791
Mailing address
HC 4 Box 4354
Humacao, PR 00791-8922
Phone (787) 715-1260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11533 | Other | PR | CLINICAL SOCIAL WORK |
| 11533 | Other | PR | SOCIAL WORK |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1346798113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 4354",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007918922",
"telephone_number": "787-715-1260",
"fax_number": "787-715-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 4 BOX 4354",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-715-1260",
"fax_number": "787-715-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "DIANNETTE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "11533",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "11533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORK",
"identifier": "11533",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK",
"identifier": "11533",
"state": "PR"
}
],
"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 Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.