Active NPI
Joely Enid Rentas-Rivera
- Clinical Psychologist
- Carolina, PR
National Provider Identifier
1003493339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6882
- Practice address
- Avenida Roberto Clemente #27-2 Villa Carolina
Carolina, PR 00985 - Phone
- (787) 453-5246
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | 6882 | PR | Primary |
Addresses
Primary practice location
Avenida Roberto Clemente #27-2 Villa Carolina
Carolina, PR 00985
Mailing address
HC 2 Box 7858
Barceloneta, PR 00617-9857
Phone (787) 453-5246
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6882 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1003493339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 7858",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006179857",
"telephone_number": "787-453-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA ROBERTO CLEMENTE #27-2 VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-453-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTAS-RIVERA",
"first_name": "JOELY",
"middle_name": "ENID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.