Individual provider Active NPI

Lisandra Rubio-Fernandez, BA

  • Social Worker
  • Carolina, PR
National Provider Identifier
1679788483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4172 Issued in PR
Practice address
L5 Calle Jesus T Pinero
Urb. Carolina Alta
Carolina, PR 00987-7144
Phone
(787) 257-8527
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4172 PR Primary

Addresses

Primary practice location

L5 Calle Jesus T Pinero
Urb. Carolina Alta
Carolina, PR 00987-7144

Mailing address

L5 Calle Jesus T Pinero
Urb. Carolina Alta
Carolina, PR 00987-7144
Phone (787) 257-8527

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
4172PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679788483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L5 CALLE JESUS T PINERO",
            "address_2": "URB. CAROLINA ALTA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877144",
            "telephone_number": "787-257-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L5 CALLE JESUS T PINERO",
            "address_2": "URB. CAROLINA ALTA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877144",
            "telephone_number": "787-257-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO-FERNANDEZ",
        "first_name": "LISANDRA",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "4172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.