Active NPI
Raquel M Rodriguez
- Clinical Social Worker
- Cabo Rojo, PR
National Provider Identifier
1871152355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14027
- Practice address
- 108 Calle Munoz Rivera
Cabo Rojo, PR 00623-4060 - Phone
- (787) 851-5051
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- 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 | 14027 | PR | Primary |
Addresses
Primary practice location
108 Calle Munoz Rivera
Cabo Rojo, PR 00623-4060
Mailing address
Susua Baja Sec la Palmita
631 Calle Granada
Yauco, PR 00698
Phone (939) 250-0205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14027 | Other | PR | CLINICAL SOCIAL WORKER |
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 |
|---|---|---|---|
| 14027 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1871152355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUSUA BAJA SEC LA PALMITA",
"address_2": "631 CALLE GRANADA",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698",
"telephone_number": "939-250-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 CALLE MUNOZ RIVERA",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006234060",
"telephone_number": "787-851-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RAQUEL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "14027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER",
"identifier": "14027",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.