Active NPI
Gladys Camareno, TS
- Social Worker
- San Juan, PR
National Provider Identifier
1760687602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4575
- Practice address
- Pediatric University Hospital Third Floor C
Medical Center
San Juan, PR 00936-0000 - Phone
- (787) 777-3535
- Fax
- (787) 764-7004
- NPI assigned
- Jun 20, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 4575 | PR | Primary |
Addresses
Primary practice location
Pediatric University Hospital Third Floor C
Medical Center
San Juan, PR 00936-0000
Mailing address
PMB 13 HC 01
Box 29030
Caguas, PR 00725-0000
Phone (787) 720-3631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4575 | Other | PR | SOCIAL WORKER |
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
- Credentials
- Trade School Graduate
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4575 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760687602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 13 HC 01",
"address_2": "BOX 29030",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007250000",
"telephone_number": "787-720-3631",
"fax_number": "787-764-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PEDIATRIC UNIVERSITY HOSPITAL THIRD FLOOR C",
"address_2": "MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009360000",
"telephone_number": "787-777-3535",
"fax_number": "787-764-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARENO",
"first_name": "GLADYS",
"name_prefix": "Miss",
"credential": "TS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "4575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER",
"identifier": "4575",
"state": "PR"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.