Individual provider Active NPI

Desiree Quinones Rodriguez

  • Clinical Social Worker
  • Coamo, PR
National Provider Identifier
1396508065
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16763 Issued in PR
Practice address
Barrio Los Llanos, Calle 7, 16 a
Coamo, PR 00769
Phone
(939) 209-9395
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16763 PR Primary

Addresses

Primary practice location

Barrio Los Llanos, Calle 7, 16 a
Coamo, PR 00769

Mailing address

HC 1 Box 4244
Coamo, PR 00769-9110
Phone (939) 209-9395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819005228 PR Practitioner - Clinical Social Worker 4284133844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

HC 1 Box
Suite 4244
Coamo, PR 00769

PO Box
Caguas, PR 00726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Single Specialty Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Jun 2, 2025 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Jun 2, 2025 Accepting new patients
Instituto Psicoterapeutico de PR PastSince Jun 2, 2025 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1396508065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4244",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699110",
            "telephone_number": "939-209-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO LOS LLANOS, CALLE 7, 16 A",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "939-209-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES RODRIGUEZ",
        "first_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.