Active NPI
Roselyn M Rivera, MSW
- Clinical Social Worker
- San Juan, PR
National Provider Identifier
1578021424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13864
- Practice address
- Professional Office Park Pfizer Tower Suite 201
St Roberto Street
San Juan, PR 00926 - Phone
- (787) 329-3378
- NPI assigned
- Mar 11, 2019
- 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 | 13864 | PR | Primary |
Addresses
Primary practice location
Professional Office Park Pfizer Tower Suite 201
St Roberto Street
San Juan, PR 00926
Mailing address
PO Box 71474
San Juan, PR 00936
Phone (787) 618-1694
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 |
|---|---|---|---|
| 13864 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1578021424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71474",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-618-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PROFESSIONAL OFFICE PARK PFIZER TOWER SUITE 201",
"address_2": "ST ROBERTO STREET",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-329-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ROSELYN",
"middle_name": "M",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "13864",
"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 Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.