Individual provider Active NPI

Jari Rafael Moreno-Sanchez, MSW

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1750522157
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8452 Issued in PR
Practice address
252 Calle Fortaleza
Viejo San Juan
San Juan, PR 00901-1780
Phone
(787) 721-7314
NPI assigned
Mar 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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 8452 PR Primary

Addresses

Primary practice location

252 Calle Fortaleza
Viejo San Juan
San Juan, PR 00901-1780

Mailing address

PO Box 9021477
San Juan, PR 00902-1477
Phone (787) 721-7314

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

LicenseStateTypeSpecialty
8452PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo de Servicios Fortaleza, Inc. Clinical Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1750522157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9021477",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009021477",
            "telephone_number": "787-721-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE FORTALEZA",
            "address_2": "VIEJO SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011780",
            "telephone_number": "787-721-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO-SANCHEZ",
        "first_name": "JARI",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.