Individual provider Active NPI

Ismarilis Rivera Berrios, MSW CLINICAL

  • Clinical Social Worker
  • PR, PR
National Provider Identifier
1700624459
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16891 Issued in PR
Practice address
Carr. 149 #5 Bo. Pesas
PR, PR 00638
Phone
(787) 231-0690
NPI assigned
Jul 17, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16891 PR Primary

Addresses

Primary practice location

Carr. 149 #5 Bo. Pesas
PR, PR 00638

Mailing address

PO Box 1683
Ciales, PR 00638-1683
Phone (787) 231-0690

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

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1700624459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1683",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006381683",
            "telephone_number": "787-231-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 149 #5 BO. PESAS",
            "city": "PR",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-231-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA BERRIOS",
        "first_name": "ISMARILIS",
        "name_prefix": "Mrs.",
        "credential": "MSW CLINICAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in PR, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.