Active NPI
Fernando L Cartagena, MSW
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1891070223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10735
- Practice address
- Ave Paseo del Veterano # 1010
1010
Ponce, PR 00716-2001 - Phone
- (787) 412-7877
- NPI assigned
- Oct 17, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10735 | PR | Primary |
Addresses
Primary practice location
Ave Paseo del Veterano # 1010
1010
Ponce, PR 00716-2001
Mailing address
4 Santiago Iglesias
Coamo, PR 00769
Phone (787) 412-7877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10735 | Other | PR | DEPARTMENT OF STATE |
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 |
|---|---|---|---|
| 10735 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1891070223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SANTIAGO IGLESIAS",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-412-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE PASEO DEL VETERANO # 1010",
"address_2": "1010",
"city": "PONCE",
"state": "PR",
"postal_code": "007162001",
"telephone_number": "787-412-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTAGENA",
"first_name": "FERNANDO",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "10735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF STATE",
"identifier": "10735",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.