Rutty Pirela Medina

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12951 Issued in PR

Practice address

1123 Ave. Eugenio Maria de Hostos
Ponce, PR 00716

Phone

(787) 377-1277

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1588401368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS DELICIAS",
            "address_2": "CALLE ANTONIO PEREZ 3738",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-974-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 AVE. EUGENIO MARIA DE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-377-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRELA MEDINA",
        "first_name": "RUTTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "12951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgardo Pineiro-Mercado, MD
• Daniela Martha Pinero Molina, SLP
• Eduardo Raul Pintado
• Francheska M Pintado, MD
• Wanda L Pintado
• Pishadent,LLC
• Nilda L Pizarro Batista, RPT
• Plan Visual Inc.
• George Ivan Plata Mejias
• Kimberly Plata, PSYD

• Clinical Social Worker in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.