Individual provider Active NPI

Elizabeth Beltran Burgos, MSW

  • Clinical Social Worker
  • Humacao, PR
National Provider Identifier
1942513452
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7681 Issued in PR
Practice address
HC 11 Box 12362
Humacao, PR 00791-9415
Phone
(787) 421-6114
Fax
(787) 285-4627
NPI assigned
Jul 26, 2010
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 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 7681 PR Primary

Addresses

Primary practice location

HC 11 Box 12362
Humacao, PR 00791-9415

Mailing address

#55 Calle Aleli
Alturas de Terralinda
Yabucoa, PR 00767-0000
Phone (787) 421-6114

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
7681PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1942513452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#55 CALLE ALELI",
            "address_2": "ALTURAS DE TERRALINDA",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007670000",
            "telephone_number": "787-421-6114",
            "fax_number": "787-285-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 11 BOX 12362",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919415",
            "telephone_number": "787-421-6114",
            "fax_number": "787-285-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "ELIZABETH",
        "middle_name": "BELTRAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "7681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.