Active NPI
Rochelle Medina Berrios Medina, LCSW
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1700617677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16914
- Practice address
- Urb la Rambla 1787
Calle Siervas de Maria
Ponce, PR 00730 - Phone
- (787) 974-2443
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16914 | PR | Primary |
Addresses
Primary practice location
Urb la Rambla 1787
Calle Siervas de Maria
Ponce, PR 00730
Mailing address
Urb la Rambla 1787
Calle Siervas de Maria
Ponce, PR 00730
Phone (787) 298-9797
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16914 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1700617677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB LA RAMBLA 1787",
"address_2": "CALLE SIERVAS DE MARIA",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-298-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB LA RAMBLA 1787",
"address_2": "CALLE SIERVAS DE MARIA",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-974-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIOS MEDINA",
"first_name": "ROCHELLE",
"middle_name": "MEDINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "16914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.