Active NPI
Gloriselis Jordan, MRC
- Rehabilitation Counselor
- Bayamon, PR
National Provider Identifier
1821652306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 956
- Practice address
- PR 2 KM 8.5
Bo Juan Sanchez
Bayamon, PR 00960 - Phone
- (787) 532-7091
- NPI assigned
- Apr 30, 2019
- 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 |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 956 | PR | Primary |
Addresses
Primary practice location
PR 2 KM 8.5
Bo Juan Sanchez
Bayamon, PR 00960
Mailing address
PO Box 248
Bayamon, PR 00960-0248
Phone (787) 782-8250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225C00000X | Other | PR | THIS NUMBER WAS REQUIRED FOR MY JOB. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 956 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1821652306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 248",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009600248",
"telephone_number": "787-782-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PR 2 KM 8.5",
"address_2": "BO JUAN SANCHEZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-532-7091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "GLORISELIS",
"credential": "MRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "PR",
"license": "956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THIS NUMBER WAS REQUIRED FOR MY JOB.",
"identifier": "225C00000X",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.