Active NPI
Angel A Villarreal, SOCIAL WORK
- Clinical Social Worker
- Dorado, PR
National Provider Identifier
1982965281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R057653
- Practice address
- 436 Camino de Guanica
Urb Sabanera Dorado
Dorado, PR 00646-3636 - Phone
- (718) 710-6995
- NPI assigned
- Jun 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R057653 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 9819 | PR |
Addresses
Primary practice location
436 Camino de Guanica
Urb Sabanera Dorado
Dorado, PR 00646-3636
Mailing address
436 Camino de Guanica
Urb Sabanera Dorado
Dorado, PR 00646-3636
Phone (718) 710-6995
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 |
|---|---|---|---|
| R057653 | NY | MD | Clinical Social Worker |
| 9819 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1982965281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 CAMINO DE GUANICA",
"address_2": "URB SABANERA DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "006463636",
"telephone_number": "718-710-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 CAMINO DE GUANICA",
"address_2": "URB SABANERA DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "006463636",
"telephone_number": "718-710-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "ANGEL",
"middle_name": "A",
"credential": "SOCIAL WORK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-04",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R057653",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "9819",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.