Active NPI
Aixa M Ortiz-Gomez, MA
- Social Worker
- San Juan, PR
National Provider Identifier
1760697585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4452
- Practice address
- 1415 Calle Dover
Caparra Terrace
San Juan, PR 00920-5021 - Phone
- (787) 781-9943
- NPI assigned
- May 14, 2007
- Last updated
- Jul 8, 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 | 4452 | PR | Primary |
Addresses
Primary practice location
1415 Calle Dover
Caparra Terrace
San Juan, PR 00920-5021
Mailing address
1415 Calle Dover
Caparra Terrace
San Juan, PR 00920-5021
Phone (787) 781-9943
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4452 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760697585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 CALLE DOVER",
"address_2": "CAPARRA TERRACE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009205021",
"telephone_number": "787-781-9943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 CALLE DOVER",
"address_2": "CAPARRA TERRACE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009205021",
"telephone_number": "787-781-9943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ-GOMEZ",
"first_name": "AIXA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "4452",
"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 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.