Active NPI
Michelle Mercedes Mieles Soto, MSW
- Clinical Social Worker
- Arecibo, PR
National Provider Identifier
1952447542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8890
- Practice address
- Antiguo Hospital de Distrito 2DO Piso Carr 129
Arecibo, PR 00612 - Phone
- (787) 878-3552
- Fax
- (787) 879-8633
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8890 | PR | Primary |
Addresses
Primary practice location
Antiguo Hospital de Distrito 2DO Piso Carr 129
Arecibo, PR 00612
Mailing address
PO Box 9550
Cotto Station
Arecibo, PR 00613
Phone (787) 878-3552
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8890 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952447542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9550",
"address_2": "COTTO STATION",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00613",
"telephone_number": "787-878-3552",
"fax_number": "787-879-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ANTIGUO HOSPITAL DE DISTRITO 2DO PISO CARR 129",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-878-3552",
"fax_number": "787-879-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIELES SOTO",
"first_name": "MICHELLE",
"middle_name": "MERCEDES",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "8890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.