Active NPI
Joel Rafael Brens Aquino, LMSW
- Clinical Social Worker
- Bayamon, PR
National Provider Identifier
1831812858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13428
- Practice address
- Calle 17 BLQ S No.5
Urb, Flamboyan Gardens
Bayamon, PR 00959 - Phone
- (787) 309-6934
- NPI assigned
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13428 | PR | Primary |
Addresses
Primary practice location
Calle 17 BLQ S No.5
Urb, Flamboyan Gardens
Bayamon, PR 00959
Mailing address
Calle 17 BLQ S No.5
Urb, Flamboyan Gardens
Bayamon, PR 00959
Phone (787) 309-6934
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 |
|---|---|---|---|
| 13428 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1831812858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 17 BLQ S NO.5",
"address_2": "URB, FLAMBOYAN GARDENS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-309-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 17 BLQ S NO.5",
"address_2": "URB, FLAMBOYAN GARDENS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-309-6934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENS AQUINO",
"first_name": "JOEL",
"middle_name": "RAFAEL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "13428",
"primary": true
}
],
"identifiers": [],
"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 Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.