Raquel Marie Colon Jimenez, MSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10404 Issued in PR

Practice address

Calle11 I 18
Alta Vista
Ponce, PR 00716

Phone

(787) 901-1216

NPI assigned

Oct 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1912250259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 11 I18",
            "address_2": "ALTA VISTA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-901-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE11 I 18",
            "address_2": "ALTA VISTA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-901-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON JIMENEZ",
        "first_name": "RAQUEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Sofia Colon Farinacci
• Angelie Colon Fernandez
• Carlos J Colon Ginel, D.C.
• Luis Gabriel Colon Gonzalez, MD
• Melissa Colon Hernandez, THL
• Odelys Marie Colon Lago
• Derick E. Colon Lopez, MD
• Gabriel E Colon Lopez, PHARMD
• Yolimar Colon Lopez, PHARMD
• Jenis Ariana Colon Mateo

• Clinical Social Worker in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.