Individual provider Active NPI

Robert Brian Coriz, BSW

  • Social Worker
  • San Felipe, NM
National Provider Identifier
1376699256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
Pueblo of San Felipe
5 Cougar Road
San Felipe, NM 87001-4350
Phone
(505) 867-9740
Fax
(505) 867-6166
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NM Primary

Addresses

Primary practice location

Pueblo of San Felipe
5 Cougar Road
San Felipe, NM 87001-4350

Mailing address

Pueblo of San Felipe
P.O. Box 4350
San Felipe, NM 87001-4350
Phone (505) 867-9740

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376699256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PUEBLO OF SAN FELIPE",
            "address_2": "P.O. BOX 4350",
            "city": "SAN FELIPE",
            "state": "NM",
            "postal_code": "870014350",
            "telephone_number": "505-867-9740",
            "fax_number": "505-867-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUEBLO OF SAN FELIPE",
            "address_2": "5 COUGAR ROAD",
            "city": "SAN FELIPE",
            "state": "NM",
            "postal_code": "870014350",
            "telephone_number": "505-867-9740",
            "fax_number": "505-867-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIZ",
        "first_name": "ROBERT",
        "middle_name": "BRIAN",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Felipe, NM

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.

Verify at the official NPI Registry.