Active NPI
Hazel Faunde Iglesias, MSW
- Clinical Social Worker
- Santurce, PR
National Provider Identifier
1346894060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11000
- Practice address
- 605 Calle Condado
Edif San Alberto Suite 611
Santurce, PR 00907 - Phone
- (787) 647-0767
- NPI assigned
- Jul 31, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11000 | PR | Primary |
| Marriage & Family Therapist | 106H00000X | 11000 | PR |
Addresses
Primary practice location
605 Calle Condado
Edif San Alberto Suite 611
Santurce, PR 00907
Mailing address
14-26 Urb Santa Rosa
Bayamon, PR 00959
Phone (787) 505-4880
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1346894060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14-26 URB SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-505-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 CALLE CONDADO",
"address_2": "EDIF SAN ALBERTO SUITE 611",
"city": "SANTURCE",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-647-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUNDE IGLESIAS",
"first_name": "HAZEL",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "11000",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PR",
"license": "11000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.