Individual provider Active NPI

Rebeca Fuentes Ruiz, SOCIAL WORKER

  • Social Worker
  • San Juan, PR
National Provider Identifier
1689414617
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8672 Issued in PR
Practice address
Tribunal de San Juan
PO Box 190917
San Juan, PR 00919-0917
Phone
(787) 641-6363
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 8672 PR Primary

Addresses

Primary practice location

Tribunal de San Juan
PO Box 190917
San Juan, PR 00919-0917

Mailing address

E18 Calle Benitez
Urb Sierra Berdecia
Guaynabo, PR 00969
Phone (787) 528-8518

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

LicenseStateTypeSpecialty
8672PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1689414617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E18 CALLE BENITEZ",
            "address_2": "URB SIERRA BERDECIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-528-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRIBUNAL DE SAN JUAN",
            "address_2": "PO BOX 190917",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190917",
            "telephone_number": "787-641-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES RUIZ",
        "first_name": "REBECA",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "8672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.