Individual provider Active NPI

Viviana Rosso Reyes

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1912917584
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8303 Issued in PR
Practice address
Luis Almarsa #726
Urb. Fair View
San Juan, PR 00926
Phone
(787) 314-8398
NPI assigned
Aug 8, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8303 PR Primary

Addresses

Primary practice location

Luis Almarsa #726
Urb. Fair View
San Juan, PR 00926

Mailing address

Luis Almarsa #726
Fair View
San Juan, PR 00926
Phone (787) 314-8398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000155 PR Practitioner - Clinical Social Worker 8022013937 Reassigns benefits to 1 organization
Practice locations: Trujillo Alto, PR; San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knowledge to Manage Change LLC Clinical CurrentSince May 1, 2015 Accepting new patients
Hector J Guerra Clinical Past Accepting new patients
New Health Med Group Inc Clinical Past Accepting new patients
Clinical Social Work Therapy Inc Clinical Past Accepting new patients

Locations

138 Ave Winston Churchill
San Juan, PR 00926
Phone (787) 305-8383

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1912917584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LUIS ALMARSA #726",
            "address_2": "FAIR VIEW",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-314-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUIS ALMARSA #726",
            "address_2": "URB. FAIR VIEW",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-314-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSO REYES",
        "first_name": "VIVIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.