Organization Active NPI

Clinica Psicoterapeutica Integral Cognosis

  • Clinical Social Worker
  • Santa Isabel, PR
National Provider Identifier
1912697046
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLINICA PSICOTERAPEUTICA INTEGRAL COGNOSIS
Practice address
Edificio Profesional de Santa Isabel Suite 101
Carr 153 KM 7.5 Barrio Useras
Santa Isabel, PR 00757
Phone
(787) 579-4370
NPI assigned
May 11, 2023
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Mr. Edwin I Vazquez, CSW
Title
Clinical Social Worker
Phone
(787) 579-4370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

Edificio Profesional de Santa Isabel Suite 101
Carr 153 KM 7.5 Barrio Useras
Santa Isabel, PR 00757

Mailing address

Urb. Estancias de Santa Isabel
115 Calle Amatista
Santa Isabel, PR 00757
Phone (787) 579-4370

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1912697046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ESTANCIAS DE SANTA ISABEL",
            "address_2": "115 CALLE AMATISTA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-579-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PROFESIONAL DE SANTA ISABEL SUITE 101",
            "address_2": "CARR 153 KM 7.5 BARRIO USERAS",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-579-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PSICOTERAPEUTICA INTEGRAL COGNOSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "787-579-4370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.