Individual provider Active NPI

Teresa M. Davila Rivera, M.S.W.

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1801014691
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3255 Issued in PR
Practice address
405 Ave Americo Miranda Apt 310a
San Juan, PR 00927-4634
Phone
(787) 453-9797
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3255 PR Primary

Addresses

Primary practice location

405 Ave Americo Miranda Apt 310a
San Juan, PR 00927-4634

Mailing address

405 Ave Amrico Mrnda Apt 310a
San Juan, PR 00927-4634
Phone (787) 453-9797

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
I20050912001107 PR Practitioner - Clinical Social Worker 4385677285 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3255PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1801014691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 AVE AMRICO MRNDA APT 310A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274634",
            "telephone_number": "787-453-9797",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 AVE AMERICO MIRANDA APT 310A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274634",
            "telephone_number": "787-453-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA RIVERA",
        "first_name": "TERESA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "3255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.