Individual provider Active NPI

Adela Alvarado Cosme, SOCIAL WORKS

  • Social Worker
  • Mayaguez, PR
National Provider Identifier
1770705246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
#1870 Issued in PR
Practice address
Wips Iterdisciplinary Group
#70 Relampago St.,Suite #101
Mayaguez, PR 00680
Phone
(787) 833-2899
Fax
(787) 833-2899
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X #1870 PR Primary

Addresses

Primary practice location

Wips Iterdisciplinary Group
#70 Relampago St.,Suite #101
Mayaguez, PR 00680

Mailing address

Urb.San Miguel Street a #85
P.O.Box 141
Santa Isabel, PR 00757-0141
Phone (787) 845-5495

Other identifiers 2

IdentifierTypeStateIssuer
#1870OtherPRSOCIAL WORKS LICENSE
CA-111-13 53248OtherPRADDICTION COUNSELOR 111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720000888 PR Practitioner - Clinical Social Worker 6305139940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#1870PRMDSocial Worker
1870PRMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation Social Worker CurrentSince Jun 1, 2016 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Jun 1, 2016 Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770705246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB.SAN MIGUEL STREET A #85",
            "address_2": "P.O.BOX 141",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570141",
            "telephone_number": "787-845-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WIPS ITERDISCIPLINARY GROUP",
            "address_2": "#70 RELAMPAGO ST.,SUITE #101",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-2899",
            "fax_number": "787-833-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO COSME",
        "first_name": "ADELA",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "#1870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKS LICENSE",
            "identifier": "#1870",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION COUNSELOR 111",
            "identifier": "CA-111-13 53248",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.