Individual provider Active NPI

Julinette Rivera de Jesus

  • Clinical Social Worker
  • Guayama, PR
National Provider Identifier
1992485163
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16127 Issued in PR
Practice address
41 Calle Ashford
Guayama, PR 00785
Phone
(787) 243-6031
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16127 PR Primary

Addresses

Primary practice location

41 Calle Ashford
Guayama, PR 00785

Mailing address

PO Box 133
Santa Isabel, PR 00757-0133
Phone (787) 243-6031

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
I20230814002213 PR Practitioner - Clinical Social Worker 6002278678 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation CurrentSince Jul 1, 2025 Accepting new patients
Centro Psicoterapeutico del Sur Corp Clinical CurrentSince Jul 1, 2023 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Jul 1, 2025 Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation Past Accepting new patients

Locations

41 Calle Ashford N
Guayama, PR 00784
Phone (787) 243-6031

Organizations & group practices 4

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1992485163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570133",
            "telephone_number": "787-243-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CALLE ASHFORD",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-243-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DE JESUS",
        "first_name": "JULINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.