Marisel Rodriguez de Jesus

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11438 Issued in PR

Practice address

60 Celis Aguilera Suite 5 Edificio Plaza del Parque
Santa Isabel, PR 00757

Phone

(393) 257-3471

NPI assigned

Mar 1, 2019

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica Psicosocial Construyendo Caminos

  • Clinical Social Worker
  • Santa Isabel, PR
  • NPI 1386204683
  NPD (past)

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1730646381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CELIS AGUILERA SUITE 5 EDIFICIO PLAZA DEL PARQUE",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "939-257-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CELIS AGUILERA SUITE 5 EDIFICIO PLAZA DEL PARQUE",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "393-257-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DE JESUS",
        "first_name": "MARISEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa I Rivera, TS
• Yomayra Rivera
• Zolmari Rivera, RN
• Zulma I Rivera
• Isabel Cristina Rodriguez Barrera
• Luis Adolfo Rodriguez Ortiz, TAC-III, TFC-III
• Kermys Rodriguez Roche, MD
• Anaida M Rodriguez
• Evelyn Rodriguez, PSY.D
• Sheila M Rodriguez

• Clinical Social Worker in Santa Isabel, PR
• Providers in Santa Isabel, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.