Marisel Rodriguez de Jesus

Individual provider Active NPI Clinical Social Worker · Santa Isabel, PR

NPI 1730646381 · NPPES record last updated Mar 1, 2019

Key facts

NPI
1730646381
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
11438 (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
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Psicosocial Construyendo Caminos Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11438 PR Yes

Addresses

Primary practice location

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

Mailing address

60 Celis Aguilera Suite 5 Edificio Plaza del Parque
Santa Isabel, PR 00757
Phone (939) 257-3471

Other providers in Santa Isabel, PR

All providers in Santa Isabel, PR · Clinical Social Worker in Puerto Rico

Sources for this page

Verify at the official NPI Registry.