Active NPI
Kassandra Marie Bordado May, LPRC
- Rehabilitation Counselor
- San Juan, PR
National Provider Identifier
1760089205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 1609
- Practice address
- #1542, Calle Bori Urb. Belisa
San Juan, PR 00927 - Phone
- (787) 274-9494
- NPI assigned
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1609 | PR | |
| Mental Health Counselor | 101YM0800X | 1609 | PR | |
| Social Worker | 104100000X | 23237 | PR | |
| Rehabilitation Counselor | 225C00000X | 1609 | PR | Primary |
Addresses
Primary practice location
#1542, Calle Bori Urb. Belisa
San Juan, PR 00927
Mailing address
PO Box 2501
Vega Baja, PR 00694-2501
Phone (787) 346-7450
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 |
|---|---|---|---|
| 1609 | PR | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1760089205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2501",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006942501",
"telephone_number": "787-346-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1542, CALLE BORI URB. BELISA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-274-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDADO MAY",
"first_name": "KASSANDRA",
"middle_name": "MARIE",
"credential": "LPRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2021-02-03",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "1609",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "1609",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "23237",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "PR",
"license": "1609",
"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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.