Rosaura Domenech Gutierrez, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16206 Issued in PR

Practice address

Buen Samaritano Medical & Professional Plaza
Tercer Piso Suite 11
Aguadilla, PR 00603

Phone

(787) 422-2595

Fax

(787) 551-4119

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mente Renovada Centro de Intervencion Clinica Social

  • Adult Mental Health Clinic/Center
  • Aguadilla, PR
  • NPI 1487161808

  Single Specialty

  NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1760244248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 CAMINO REAL",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "939-339-2082",
            "fax_number": "787-551-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUEN SAMARITANO MEDICAL & PROFESSIONAL PLAZA",
            "address_2": "TERCER PISO SUITE 11",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-422-2595",
            "fax_number": "787-551-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENECH GUTIERREZ",
        "first_name": "ROSAURA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erbett Diaz Salva, D.C.
• Lilliam Diaz Velez, MD
• Mirialys Diaz
• Ramon Diaz, RPH
• Jan Paul Doble Cacho, MD
• Hector E Donato
• Rebecca Lynne Doyle, AIR STATION BQN
• Fabiola A Dozal, R.N.
• Dr Jaime Ledesma CSP
• Dr Jesus I Hernandez Rivera LLC

• All providers in Aguadilla, PR
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.