Active NPI
Pedro Burgos-Vega Sr., CSW
- Clinical Social Worker
- Yabucoa, PR
National Provider Identifier
1720868920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13641
- Practice address
- Road 901 KM 8.8
Camino Vicente del Moral
Yabucoa, PR 00767-0984 - Phone
- (939) 294-8898
- NPI assigned
- Oct 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 13641 | PR | Primary |
Addresses
Primary practice location
Road 901 KM 8.8
Camino Vicente del Moral
Yabucoa, PR 00767-0984
Mailing address
PO Box 984
Yabucoa, PR 00767-0984
Phone (939) 294-8898
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 |
|---|---|---|---|
| 13641 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1720868920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 984",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007670984",
"telephone_number": "939-294-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROAD 901 KM 8.8",
"address_2": "CAMINO VICENTE DEL MORAL",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007670984",
"telephone_number": "939-294-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS-VEGA",
"first_name": "PEDRO",
"name_suffix": "Sr.",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "13641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.