Active NPI
Keishla Marie Nogueras Guzman
- Social Worker
- Aibonito, PR
National Provider Identifier
1629525423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22957
- Practice address
- D30 Calle Lucero
Colinas de San Francisco
Aibonito, PR 00705 - Phone
- (787) 388-5014
- NPI assigned
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 22957 | PR | Primary |
Addresses
Primary practice location
D30 Calle Lucero
Colinas de San Francisco
Aibonito, PR 00705
Mailing address
Colinas de San Francisco Calle Lucero D-30
Aibonito, PUERTO RICO 00705
UM
Phone (787) 388-5014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080019745204 | Medicaid | PR |
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 |
|---|---|---|---|
| 22957 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1629525423",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "COLINAS DE SAN FRANCISCO CALLE LUCERO D-30",
"city": "AIBONITO",
"state": "PUERTO RICO",
"postal_code": "00705",
"telephone_number": "787-388-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "D30 CALLE LUCERO",
"address_2": "COLINAS DE SAN FRANCISCO",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-388-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOGUERAS GUZMAN",
"first_name": "KEISHLA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "22957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0080019745204",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.