Individual provider Active NPI

Gladys A. Rodriguez, MSW

  • Social Worker
  • Arecibo, PR
National Provider Identifier
1982969382
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10447. Issued in PR
Practice address
49 Calle Morell Campos
Arecibo, PR 00612-4318
Phone
(787) 236-9082
Fax
(787) 878-0683
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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 10447. PR Primary

Addresses

Primary practice location

49 Calle Morell Campos
Arecibo, PR 00612-4318

Mailing address

PO Box 3359
Arecibo, PR 00613-3359
Phone (787) 236-9082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130507000027 PR Practitioner - Clinical Social Worker 5193961183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10447.PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Integrated Services, Inc. CurrentSince Apr 2, 2013 Accepting new patients

Locations

49 Calle Morell Campos
Arecibo, PR 00612
Phone (787) 630-5151

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1982969382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3359",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006133359",
            "telephone_number": "787-236-9082",
            "fax_number": "787-878-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CALLE MORELL CAMPOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124318",
            "telephone_number": "787-236-9082",
            "fax_number": "787-878-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GLADYS",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "10447.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.