Vivian Rodriguez, MSW, DCSW, CAC III,

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2740 Issued in PR

Practice address

518 Calle Dresde
Puerto Nuevo
San Juan, PR 00920-3731

Phone

(787) 792-0278

Fax

(787) 792-0278

NPI assigned

Dec 1, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1598833352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CALLE DRESDE",
            "address_2": "VILLA BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203708",
            "telephone_number": "787-792-0278",
            "fax_number": "787-792-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 CALLE DRESDE",
            "address_2": "PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203731",
            "telephone_number": "787-792-0278",
            "fax_number": "787-792-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VIVIAN",
        "credential": "MSW, DCSW, CAC III,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "2740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "660535585",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresita Rodriguez, MSW
• Victor Manuel Rodriguez, M.D.
• Vilma S Rodriguez, RN
• Vionette Vanessa Rodriguez
• Virginia Luisa Rodriguez
• Waleska Rodriguez, LND
• Wanda Rodriguez
• Wanda I Rodriguez, BSPH
• Wendaly Rodriguez, MSW
• William Rodriguez, MD

• Social Worker in San Juan, PR
• Providers in San Juan, PR by specialty
• Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.