Organization Active NPI

Powerfull Minds Coach II Inc

  • Clinical Social Worker
  • Aguada, PR
National Provider Identifier
1699235408
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
POWERFULL MINDS COACH II INC
Practice address
Carr PR 417 KM 0.5 Ave Nativo Alers
Desvio Sur Bo Asomante
Aguada, PR 00602
Phone
(939) 319-9417
NPI assigned
Mar 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Jennifer Jimenez
Title
President
Phone
(787) 546-7930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

Carr PR 417 KM 0.5 Ave Nativo Alers
Desvio Sur Bo Asomante
Aguada, PR 00602

Mailing address

HC 57 Box 9417
Aguada, PR 00602-9828

National Provider Directory

National Provider Directory

Locations

5 Ave Nativo Alers
Aguada, PR 00602
Phone (939) 319-5966

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1699235408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 57 BOX 9417",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 417 KM 0.5 AVE NATIVO ALERS",
            "address_2": "DESVIO SUR BO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "939-319-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERFULL MINDS COACH II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-546-7930"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.