Active NPI
Luis Antonio Berdecia Sr.
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1972305704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15121
- Practice address
- 1474 Calle Salud
Apt 13
Ponce, PR 00730-5828 - Phone
- (787) 674-7918
- NPI assigned
- Mar 25, 2025
- Sex
- Male
- 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 | 15121 | PR | Primary |
Addresses
Primary practice location
1474 Calle Salud
Apt 13
Ponce, PR 00730-5828
Mailing address
1474 Calle Salud Apt 13
Ponce, PR 00730-5828
Phone (787) 674-7918
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1972305704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1474 CALLE SALUD APT 13",
"city": "PONCE",
"state": "PR",
"postal_code": "007305828",
"telephone_number": "787-674-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 CALLE SALUD",
"address_2": "APT 13",
"city": "PONCE",
"state": "PR",
"postal_code": "007305828",
"telephone_number": "787-674-7918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDECIA",
"first_name": "LUIS",
"middle_name": "ANTONIO",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "15121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.