Individual provider Active NPI

Alexandra Amezquita, LCSW

  • Social Worker
  • Sabana Seca, PR
National Provider Identifier
1477293363
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10792 Issued in PR
Practice address
273A Bo. Sabana Seca
Calle la Milagrosa
Sabana Seca, PR 00952
Phone
(787) 938-7616
NPI assigned
Mar 30, 2022
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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 10792 PR Primary

Addresses

Primary practice location

273A Bo. Sabana Seca
Calle la Milagrosa
Sabana Seca, PR 00952

Mailing address

47314 Calle la Milagrosa Buzon #16
Sabana Seca, PR 00952
Phone (787) 938-7616

Other identifiers 1

IdentifierTypeStateIssuer
10792OtherPRLICENSE SOCIAL WORKER

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL lizvanette@yahoo.com Direct
CONNECT URL alexyaviel@gmail.com Direct
CONNECT URL lizvanette@yahoo.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
10792PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1477293363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47314 CALLE LA MILAGROSA BUZON #16",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-938-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273A BO. SABANA SECA",
            "address_2": "CALLE LA MILAGROSA",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-938-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEZQUITA",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "10792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE SOCIAL WORKER",
            "identifier": "10792",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lizvanette@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "273A Bo. Sabana Seca",
            "address_2": "Calle La Milagrosa",
            "city": "Sabana Seca",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alexyaviel@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "273A Bo. Sabana Seca",
            "address_2": "Calle La Milagrosa",
            "city": "Sabana Seca",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lizvanette@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Social Worker",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "273A Bo. Sabana Seca",
            "address_2": "Calle La Milagrosa",
            "city": "Sabana Seca",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sabana Seca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.