Active NPI
Jeily Ann Rentas, MSW
- Clinical Social Worker
- Guanica, PR
National Provider Identifier
1740935600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15249
- Practice address
- Urb Valletania Calle 2 #C11
Guanica, PR 00653 - Phone
- (939) 498-9751
- NPI assigned
- Feb 18, 2022
- Sex
- Female
- 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 | 15249 | PR | Primary |
Addresses
Primary practice location
Urb Valletania Calle 2 #C11
Guanica, PR 00653
Mailing address
Villa del Carmen 528 Calle Salamanca
Ponce, PR 00716
Phone (939) 498-9761
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 |
|---|---|---|---|
| 15249 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1740935600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLA DEL CARMEN 528 CALLE SALAMANCA",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "939-498-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB VALLETANIA CALLE 2 #C11",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"telephone_number": "939-498-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTAS",
"first_name": "JEILY",
"middle_name": "ANN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "15249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guanica, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.