Mary Liz Baez Rodriguez
Individual provider Active NPI Clinical Social Worker · Penuelas, PR
NPI 1750159240 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1750159240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10400 (PR)
- Practice address
- Calle Jose Vicente #606
Penuelas, PR 00624 - Phone
- (939) 992-9233
- NPI assigned
- Dec 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108004214 | PR | Practitioner - Clinical Social Worker | 6103277751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transforma Family Group Therapy LLC | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10400 | PR | Yes |
Addresses
Primary practice location
Calle Jose Vicente #606
Penuelas, PR 00624
Mailing address
Calle Jose Vicente #606
Penuelas, PR 00624
Phone (939) 992-9233
Other providers in Penuelas, PR
- Arce Visual Center
- Daneisha Arroyo
- Ruth S Orengo Arroyo
- Artemisa Medical Aesthetic LLC
- Johanna Arzola
- Jessica Calderon
- Ruth Caliz Lopez
- Luis Oscar Camacho
- Pedro Alejandro Canuelas Echevarria
- Ivannys Alexka Cappas Perez
All providers in Penuelas, PR · Clinical Social Worker in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.