Individual provider Active NPI

Jesus Rivera Caride, MSW

  • Clinical Social Worker
  • Cayey, PR
National Provider Identifier
1831401678
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17444 Issued in PR
Practice address
Urb. Altura del Plata
C-25 Paseo de la Colina
Cayey, PR 00737-9601
Phone
(787) 645-5413
NPI assigned
Jul 9, 2010
Last updated
May 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0320 PR
Clinical Social Worker 1041C0700X 17444 PR Primary

Addresses

Primary practice location

Urb. Altura del Plata
C-25 Paseo de la Colina
Cayey, PR 00737-9601

Mailing address

PO Box 10000
Cayey, PR 00737-9601
Phone (787) 645-5413

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
I20240721000022 PR Practitioner - Clinical Social Worker 8729524244 Practice locations: Cayey, PR; Coamo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0320PRMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1831401678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10000",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007379601",
            "telephone_number": "787-645-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. ALTURA DEL PLATA",
            "address_2": "C-25 PASEO DE LA COLINA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007379601",
            "telephone_number": "787-645-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA CARIDE",
        "first_name": "JESUS",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "0320",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.