Active NPI
Centro Etaaa Corporation
Doing business as Centro Etaaa
- Clinical Social Worker
- Santa Isabel, PR
National Provider Identifier
1346969326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CENTRO ETAAA CORPORATION
- Doing business as
- Centro Etaaa
- Practice address
- Portal de la Reina 78
Calle Reina
Santa Isabel, PR 00757-2452 - Phone
- (939) 280-9326
- NPI assigned
- Aug 24, 2022
- Organization subpart
- Yes
- Parent organization
- CENTRO ETAAA CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Senia Marquez Candelario, MSW
- Title
- Trabajo Social Clinico
- Phone
- (787) 614-2523
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| School Social Worker | 1041S0200X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Home Health Agency | 251E00000X | |||
| Clinic/Center | 261Q00000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
Portal de la Reina 78
Calle Reina
Santa Isabel, PR 00757-2452
Mailing address
Portal de la Reina 78
Calle Reina
Santa Isabel, PR 00757-2452
Phone (787) 614-2523
Other names 1
- CENTRO ETAAA
National Provider Directory
National Provider Directory- Part of
- Centro Etaaa Corporation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1346969326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PORTAL DE LA REINA 78",
"address_2": "CALLE REINA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007572452",
"telephone_number": "787-614-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PORTAL DE LA REINA 78",
"address_2": "CALLE REINA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007572452",
"telephone_number": "939-280-9326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO ETAAA CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRO ETAAA CORPORATION",
"enumeration_date": "2022-08-24",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "CANDELARIO",
"authorized_official_first_name": "SENIA",
"authorized_official_middle_name": "MARQUEZ",
"authorized_official_title_or_position": "TRABAJO SOCIAL CLINICO",
"authorized_official_telephone_number": "787-614-2523",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CENTRO ETAAA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CENTRO ETAAA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Santa Isabel, PR
- Agustin Cayere-Morales, M.D.
- Centro de Hematologia Y Oncologia del Sur, CSP
- Centro de Hematologia Y Oncologia del Sur, CSP
- Centro de Medicina Primaria Y Preventiva, PSC
- Centro Diagnostico Y Tratamiento de Santa Isabel
- Centro Servicios Primarios de Salud de Patillas Inc.
- Centro Servicios Primarios de Salud de Patillas Inc.Si Satellite Clini
- Clinica de Salud Familiar
- Clinica de Terapias Santa Isabel Inc
- Clinica Dental de la Familia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.