Brenda Michelle Anglada Rivera

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6958 Issued in PR

Practice address

65 Calle Baldorioty
Coamo, PR 00769-2344

Phone

(787) 614-3205

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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.

• Clinica de Servicios Psicologicos de Transformacion Integral Metamorfosis Project PR Inc

  • Clinical Psychologist
  • Coamo, PR
  • NPI 1306658828

  Clinical

  NPD Authorized official

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2024.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1003589425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570386",
            "telephone_number": "787-319-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CALLE BALDORIOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692344",
            "telephone_number": "787-614-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLADA RIVERA",
        "first_name": "BRENDA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Admar Clinical and Consultant Services
• Elvin Omar Alvarado-Cardona, PHD
• Angel Emanuel Alvarado, PHARMACY TECHNICIAN
• Arnaldo Luis Alvarado, PHYSICAL THERAPIST
• Luisa I. Alvarado, M.D.
• Sandra Aponte Santini, MD
• Yancy Xiomara Aponte, MSW
• Osmarily Arce Bulted, PHARM D
• Frances Y Aviles, MRPT
• Belinda N Baerga

• All providers in Coamo, PR
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.