Active NPI
Jeylin Cordero Soto, MSW
- Clinical Social Worker
- Aguada, PR
National Provider Identifier
1720712110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26083
- Practice address
- Bo Naranjo Carr 414 KM 7.1
Aguada, PR 00602-9913 - Phone
- (787) 629-0578
- NPI assigned
- Jul 12, 2022
- 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 | 26083 | PR | Primary |
Addresses
Primary practice location
Bo Naranjo Carr 414 KM 7.1
Aguada, PR 00602-9913
Mailing address
HC 58 Box 14554
Aguada, PR 00602-9913
Phone (787) 629-0578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250430002168 | PR | Practitioner - Clinical Social Worker | 2769908920 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26083 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1720712110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 58 BOX 14554",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029913",
"telephone_number": "787-629-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO NARANJO CARR 414 KM 7.1",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029913",
"telephone_number": "787-629-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO SOTO",
"first_name": "JEYLIN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "26083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
- Ana Jessica Concepcion Carrero, PSY.D.
- Kiara M Concepcion Chaparro, PSYD
- Virgilio Cora Santiago, MD
- Julio Cesar Cordero Pupo, MEDICINE DOCTOR
- Brenda Enid Cordero Sanchez, PHARMD
- Bryan Vega Cordero, DC
- Elizabeth Cordero, PHYSICAL THERAPIST
- Juan M Corona-Amaro, M.D.
- Jayleen Cortes Acevedo
- Ariel Cortes Badillo, PH. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.