Individual provider Active NPI

Yadilka Marie Gerena

  • Clinical Social Worker
  • Las Piedras, PR
National Provider Identifier
1932970654
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25497 Issued in PR
Practice address
Collores 926
KM 2.0 KM 0.2
Las Piedras, PR 00771-0081
Phone
(787) 930-9135
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 25497 PR Primary

Addresses

Primary practice location

Collores 926
KM 2.0 KM 0.2
Las Piedras, PR 00771-0081

Mailing address

PO Box 81
Las Piedras, PR 00771-0081
Phone (787) 930-9135

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

LicenseStateTypeSpecialty
25497PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1932970654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710081",
            "telephone_number": "787-930-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLLORES 926",
            "address_2": "KM 2.0 KM 0.2",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710081",
            "telephone_number": "787-930-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERENA",
        "first_name": "YADILKA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "25497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.