Active NPI
Radames Perez
- Clinical Social Worker
- Caguas, PR
National Provider Identifier
1437603347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4735
- Practice address
- Cond Bonneville # Highv18
Caguas, PR 00725-5606 - Phone
- (787) 674-4003
- NPI assigned
- Aug 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4735 | PR | Primary |
Addresses
Primary practice location
Cond Bonneville # Highv18
Caguas, PR 00725-5606
Mailing address
E Calle Salamanca Apt 1B
Condominio Santa Ana
San Juan, PR 00927
Phone (787) 674-4003
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 |
|---|---|---|---|
| 4735 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1437603347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E CALLE SALAMANCA APT 1B",
"address_2": "CONDOMINIO SANTA ANA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-674-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND BONNEVILLE # HIGHV18",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007255606",
"telephone_number": "787-674-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "RADAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-09",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "4735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.