Individual provider Active NPI

Anyelis M. Lozada Carrasco

  • Clinical Social Worker
  • Cidra, PR
National Provider Identifier
1740824721
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14877 Issued in PR
Practice address
Carr. 172 KM 13.5 Ave. El Jibaro
Cidra, PR 00739
Phone
(787) 315-2211
NPI assigned
Nov 1, 2019
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14877 PR Primary

Addresses

Primary practice location

Carr. 172 KM 13.5 Ave. El Jibaro
Cidra, PR 00739

Mailing address

Urb. Ciudad Masso
San Lorenzo
San Lorenzo, PR 00754

Other practice location 1

Barrio Montones Carretera 183
Ramal 9939 Lote 19
Las piedras, PR 00771
Phone (787) 739-8182

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL . Health Information Exchange (HIE)
Other URL .

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303002497 PR Practitioner - Clinical Social Worker 5193246494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Feb 4, 2025 Accepting new patients
Cossma Inc Single Specialty CurrentSince Feb 4, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1740824721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CIUDAD MASSO",
            "address_2": "SAN LORENZO",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 172 KM 13.5 AVE. EL JIBARO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-315-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Barrio Montones Carretera 183",
            "address_2": "Ramal 9939 Lote 19",
            "address_purpose": "LOCATION",
            "city": "Las piedras",
            "state": "PR",
            "postal_code": "00771",
            "country_code": "US",
            "telephone_number": "787-739-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZADA CARRASCO",
        "first_name": "ANYELIS",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": ".",
            "affiliation": "N",
            "endpointDescription": ".",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Carr. 172 km 13.5 Ave. El Jibaro",
            "city": "Cidra",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "Barrio Montones Carretera 183",
            "address_2": "Ramal 9939 Lote 19",
            "city": "Las piedras",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.