Organization Active NPI

Knowledge to Manage Change LLC

  • Clinical Social Worker
  • Trujillo Alto, PR
National Provider Identifier
1437540408
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KNOWLEDGE TO MANAGE CHANGE LLC
Practice address
Carr 843 KM 7.4 Lote 19
Urb Vista de Lago Campo
Trujillo Alto, PR 00976
Phone
(787) 314-8398
Fax
(787) 545-1559
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Mrs. Rosso Viviana, M.D
Title
Social Worker
Phone
(787) 314-8398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

Carr 843 KM 7.4 Lote 19
Urb Vista de Lago Campo
Trujillo Alto, PR 00976

Mailing address

726 Calle Luis Almansa
Urb Fair View
San Juan, PR 00926-7719
Phone (787) 314-8398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150630000636 PR Part B Supplier - Clinic/Group Practice 0749592087 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1437540408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 CALLE LUIS ALMANSA",
            "address_2": "URB FAIR VIEW",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267719",
            "telephone_number": "787-314-8398",
            "fax_number": "787-545-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 843 KM 7.4 LOTE 19",
            "address_2": "URB VISTA DE LAGO CAMPO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-314-8398",
            "fax_number": "787-545-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOWLEDGE TO MANAGE CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "VIVIANA",
        "authorized_official_first_name": "ROSSO",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "787-314-8398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.