Individual provider Active NPI

Jeanete Ortiz Soto, MSW

  • Clinical Social Worker
  • Yabucoa, PR
National Provider Identifier
1518744572
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15277 Issued in PR
Practice address
Bo Jacanas Abajo
Carretera 902
Yabucoa, PR 00767-0623
Phone
(787) 341-4834
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 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 Worker 1041C0700X 15277 PR Primary

Addresses

Primary practice location

Bo Jacanas Abajo
Carretera 902
Yabucoa, PR 00767-0623

Mailing address

PO Box 623
Yabucoa, PR 00767-0623
Phone (787) 341-4834

Other names 1

  • Mrs. Jeanete Ortiz Soto Former name

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
I20250605000007 PR Practitioner - Clinical Social Worker 6103335807 Practice locations: Yabucoa, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1518744572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007670623",
            "telephone_number": "787-341-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO JACANAS ABAJO",
            "address_2": "CARRETERA 902",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007670623",
            "telephone_number": "787-341-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ SOTO",
        "first_name": "JEANETE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETE",
            "last_name": "ORTIZ SOTO",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yabucoa, PR

Sources for this page

Verify at the official NPI Registry.