Active NPI
Lizmarie Irizarry Rentas
- Clinical Social Worker
- Penuelas, PR
National Provider Identifier
1962951947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13516
- Practice address
- 1172 Com Caracoles 3
Penuelas, PR 00624-2616 - Phone
- (787) 383-1798
- NPI assigned
- Oct 1, 2016
- Last updated
- Oct 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 13516 | PR | Primary |
Addresses
Primary practice location
1172 Com Caracoles 3
Penuelas, PR 00624-2616
Mailing address
1172 Bda Caracoles 3
Penuelas, PR 00624-2616
Phone (787) 383-1798
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13516 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475280000000",
"number": "1962951947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 BDA CARACOLES 3",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006242616",
"telephone_number": "787-383-1798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 COM CARACOLES 3",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006242616",
"telephone_number": "787-383-1798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY RENTAS",
"first_name": "LIZMARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-01",
"last_updated": "2016-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "13516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penuelas, PR
- Imperium Ambulance, LLC
- Innovageniuscore LLC (Farmacia Kennedy)
- Instituto de Ginecologia Y Obstetricia del Sur
- Instituto de Medicina Primaria Y Urgencias del Sur CSP
- Xariel Irizarry Nazario, PHARMD
- JD Ambulance Corporation
- Norma Ivette Jordan, BNS
- Juan Lopez Velaquez (Laboratorio Clinico Guayanes)
- Laboratorio Clinico Penuelas
- Laboratorio Clinico Penuelas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.