Active NPI
Lorena Fundora, M.S.W
- Social Worker
- Arecibo, PR
National Provider Identifier
1407100985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10041
- Practice address
- Urbanizacion Vista Azul Calle 4 A54
Arecibo, PR 00612 - Phone
- (787) 629-9972
- Fax
- (787) 846-2622
- NPI assigned
- Nov 5, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10041 | PR | Primary |
Addresses
Primary practice location
Urbanizacion Vista Azul Calle 4 A54
Arecibo, PR 00612
Mailing address
Urb Vista Azul Calle 4 A54
Arecibo, PR 00612
Phone (787) 629-9972
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10041 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1407100985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB VISTA AZUL CALLE 4 A54",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-629-9972",
"fax_number": "787-846-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URBANIZACION VISTA AZUL CALLE 4 A54",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-629-9972",
"fax_number": "787-846-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNDORA",
"first_name": "LORENA",
"credential": "M.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "10041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.