Active NPI
Eli Esther Correa
- Clinical Social Worker
- San Juan, PR
National Provider Identifier
1477567956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3696
- Practice address
- Avenida de Diego Calle Canada 1324
Centro Salud Mental San Patricio
San Juan, PR 00920 - Phone
- (787) 793-2790
- NPI assigned
- Jul 28, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3696 | PR | Primary |
Addresses
Primary practice location
Avenida de Diego Calle Canada 1324
Centro Salud Mental San Patricio
San Juan, PR 00920
Mailing address
Avenida de Diego Calle Canada 1324
Centro Salud Mental San Patricio
San Juan, PR 00920
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 |
|---|---|---|---|
| 3696 | PR | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administracion de Servicios de Salud Mental Y Contra la Adiccion | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- San Juan, PR
- NPI 1326177619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477567956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVENIDA DE DIEGO CALLE CANADA 1324",
"address_2": "CENTRO SALUD MENTAL SAN PATRICIO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA DE DIEGO CALLE CANADA 1324",
"address_2": "CENTRO SALUD MENTAL SAN PATRICIO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-793-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "ELI",
"middle_name": "ESTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "3696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.