Eva E Rodriguez, LIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11925 Issued in PR

Practice address

213 Calle Pedro Ruiz Lopez
Isabela, PR 00662-2669

Phone

(787) 689-2466

NPI assigned

Sep 21, 2015

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 2

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

Practice roles

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

• Clinical Social Work Therapy Inc

  • Adult Care Home Facility
  • Camuy, PR
  • NPI 1871729772

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1659740546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CALLE PEDRO RUIZ LOPEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622669",
            "telephone_number": "787-689-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CALLE PEDRO RUIZ LOPEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622669",
            "telephone_number": "787-689-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EVA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "4063197",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "1659740546",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anibal Rodriguez Santana, M.D.
• Audeliz Rodriguez, M.D.
• Carolyn Rodriguez
• Djamileth Rodriguez
• Doris Myriam Rodriguez
• Gilberto Rodriguez
• Grisselle Rodriguez
• Jorge Rodriguez, MD
• Vanessa Rodriguez
• Xahira Roldan Hernandez, PSYD

• Clinical Social Worker in Isabela, PR
• Providers in Isabela, 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 Dec 13, 2022; 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.