Nelly Rose Cancel Pabon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17426 Issued in PR

Practice address

37 Calle Amistad
Lajas, PR 00667-2061

Phone

(939) 288-8513

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2026.

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1952155012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670772",
            "telephone_number": "939-288-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CALLE AMISTAD",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672061",
            "telephone_number": "939-288-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carretera 101, km 10.1, Sector Llanos Barrio Palmarejo",
            "address_purpose": "LOCATION",
            "city": "Lajas",
            "state": "PR",
            "postal_code": "00667",
            "country_code": "US",
            "telephone_number": "787-899-5090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ave Algarrobo # 175",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006826343",
            "country_code": "US",
            "telephone_number": "787-834-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCEL PABON",
        "first_name": "NELLY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lajas, PR
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.