Individual provider Active NPI

Alice Miriam Rodriguez-Cruz, TRABAJADOR SOCIAL

  • Clinical Social Worker
  • Mayaguez, PR
National Provider Identifier
1508630872
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16999 Issued in PR
Practice address
Calle Ernesto Ramos Antonini #155
Mayaguez, PR 00680
Phone
(787) 805-6325
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 16999 PR Primary

Addresses

Primary practice location

Calle Ernesto Ramos Antonini #155
Mayaguez, PR 00680

Mailing address

Urb la Concepcion 93 Calle Alida
Cabo Rojo, PR 00723
Phone (787) 806-5032

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
16999PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
R E N Enterprises Inc PastSince Nov 12, 2023 Accepting new patients
Hospicio Krystal Inc PastSince Nov 12, 2023 Accepting new patients

Organizations & group practices 2

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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1508630872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LA CONCEPCION 93 CALLE ALIDA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-806-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ERNESTO RAMOS ANTONINI #155",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-805-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-CRUZ",
        "first_name": "ALICE",
        "middle_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "TRABAJADOR SOCIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.