Individual provider Active NPI

Kelvin Figueroa Olmeda Sr.

  • Social Worker
  • Las Piedras, PR
National Provider Identifier
1962273631
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9906 Issued in PR
Practice address
Urb. Vistas del Rio C/ Rio Camuy #111
Las Piedras, PR 00771-9475
Phone
(787) 233-8424
NPI assigned
Jan 11, 2024
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Social Worker 104100000X 9906 PR Primary

Addresses

Primary practice location

Urb. Vistas del Rio C/ Rio Camuy #111
Las Piedras, PR 00771-9475

Mailing address

HC 15 Box 15110
Humacao, PR 00791-9475
Phone (787) 233-8424

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
9906PRMDSocial 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": "1962273631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 15 BOX 15110",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919475",
            "telephone_number": "787-233-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VISTAS DEL RIO C/ RIO CAMUY #111",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719475",
            "telephone_number": "787-233-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA OLMEDA",
        "first_name": "KELVIN",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "9906",
            "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.