Active NPI
Mariel Rodriguez
- Clinical Social Worker
- San Juan, PR
National Provider Identifier
1720118144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13483
- Practice address
- 1549 Alda St. Urbanizacion Caribe
San Juan, PR 00926 - Phone
- (787) 622-9797
- NPI assigned
- Mar 6, 2007
- 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 | 13483 | PR | Primary |
Addresses
Primary practice location
1549 Alda St. Urbanizacion Caribe
San Juan, PR 00926
Mailing address
HC 01 Box 124
Coamo, PR 00769
Phone (787) 450-6480
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Cornerstones Inc | Past | Accepting new patients | |
| Community Cornerstones Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Community Cornerstone of Puerto Rico
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yauco, PR
- NPI 1396893715
-
dba Community Cornerstone of Puerto Rico
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ponce, PR
- NPI 1578658647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720118144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 01 BOX 124",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-450-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 ALDA ST. URBANIZACION CARIBE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-622-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARIEL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "13483",
"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 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.