Evarlene Fuentes, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7552 Issued in PR

Practice address

615 Calle Monserrate
Urb Santa Rita
Fajardo, PR 00738

Phone

(787) 909-6530

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Evarlene Fuentes Reyes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1962252916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CALLE MONSERRATE",
            "address_2": "URB SANTA RITA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-909-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CALLE MONSERRATE",
            "address_2": "URB SANTA RITA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-909-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "EVARLENE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "7552",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "PR",
            "license": "7552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVARLENE",
            "last_name": "FUENTES REYES",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carlos Agapito Fontanez, M.D.
• Ivette Franceschi Nazario, M.D.
• Maria L Francis Rosario, PTA
• Awilda A Franco-Matta, MD
• Juan G Fuentes-Arroyo, DMD
• Moreslee Rosa Fuentes, REGISTER NURSE
• Fundacion Educativa Concepcion Martin
• Daneliz Garcia Rosario
• Garcia-Cardona Dermatology Associates PSC
• Antonio Garcia, ATO

• Social Worker in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Social Worker in Puerto Rico

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