Individual provider Active NPI

Denisse M. Martinez Guzman, MSW

  • Clinical Social Worker
  • Manati, PR
National Provider Identifier
1821479940
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11481 Issued in PR
Practice address
2 Calle Baldorioty
12 Esq. C/Georgetti
Manati, PR 00674-5072
Phone
(787) 884-5975
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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 11481 PR Primary

Addresses

Primary practice location

2 Calle Baldorioty
12 Esq. C/Georgetti
Manati, PR 00674-5072

Mailing address

111-7 Calle Ramal
Lares, PR 00669
Phone (787) 904-2794

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

State licenses

LicenseStateTypeSpecialty
11481PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1821479940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111-7 CALLE RAMAL",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-904-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "address_2": "12 ESQ. C/GEORGETTI",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745072",
            "telephone_number": "787-884-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ GUZMAN",
        "first_name": "DENISSE",
        "middle_name": "M.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.