Individual provider Active NPI

Marian Desarden Vializ, MSW

  • Clinical Social Worker
  • Aguada, PR
National Provider Identifier
1487963484
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10474 Issued in PR
Practice address
Buen Samaritano Medical and Professional Plaza
Tercer Piso Suite #11
Aguada, PR 00602-4007
Phone
(787) 422-2595
NPI assigned
Sep 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10474 PR Primary

Addresses

Primary practice location

Buen Samaritano Medical and Professional Plaza
Tercer Piso Suite #11
Aguada, PR 00602-4007

Mailing address

219 Calle a
Aguada, PR 00602-4007
Phone (787) 422-2595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803001417 PR Practitioner - Clinical Social Worker 7719235993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mente Renovada Centro de Intervencion Clinica Social CurrentSince Feb 2, 2018 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.

NPI Registry JSON

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1487963484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CALLE A",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006024007",
            "telephone_number": "787-422-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUEN SAMARITANO MEDICAL AND PROFESSIONAL PLAZA",
            "address_2": "TERCER PISO SUITE #11",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006024007",
            "telephone_number": "787-422-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESARDEN VIALIZ",
        "first_name": "MARIAN",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.