Individual provider Active NPI

Yeissa Marie Carbo Rivera, CSW

  • Clinical Social Worker
  • Yauco, PR
National Provider Identifier
1649088766
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15471 Issued in PR
Practice address
29 Calle Mattei Lluberas
Yauco, PR 00698-3673
Phone
(787) 233-8094
NPI assigned
Dec 20, 2024
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 15471 PR Primary

Addresses

Primary practice location

29 Calle Mattei Lluberas
Yauco, PR 00698-3673

Mailing address

HC 7 Box 20299
Mayaguez, PR 00680-9065

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
I20250418000824 PR Practitioner - Clinical Social Worker 3274058516 Practice locations: Yauco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15471PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Luis D Pacheco Garcia LLC PastSince Apr 20, 2025 Accepting new patients
Al Ramos MD CSP PastSince Apr 20, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1649088766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 20299",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006809065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE MATTEI LLUBERAS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983673",
            "telephone_number": "787-233-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBO RIVERA",
        "first_name": "YEISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.