Individual provider Active NPI

Kenia Mari Rivera Lluveras, PSY.D

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1003003914
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2792 Issued in PR
Practice address
Carr. 21 S3 Las Lomas Bo. Monacillos
Office # 2
San Juan, PR 00956
Phone
(787) 598-2415
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2792 PR Primary

Addresses

Primary practice location

Carr. 21 S3 Las Lomas Bo. Monacillos
Office # 2
San Juan, PR 00956

Mailing address

Calle 9 Num. I 13 Vista Bella
Bayamon, PUERTO RICO 00956 4838
UM
Phone (787) 598-2415

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

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1003003914",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CALLE 9 NUM. I 13 VISTA BELLA",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "00956 4838",
            "telephone_number": "787-598-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 21 S3 LAS LOMAS BO. MONACILLOS",
            "address_2": "OFFICE # 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-598-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LLUVERAS",
        "first_name": "KENIA",
        "middle_name": "MARI",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.