Elda Erleen Rivera-Medina

Individual provider Active NPI Marriage & Family Therapist · Vega Baja, PR

NPI 1013870484 · NPPES record last updated Dec 3, 2025

Key facts

NPI
1013870484
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
4459 (PR)
Practice address
172 Calle Almaden
Vega Baja, PR 00693-3635
Phone
(787) 593-3148
NPI assigned
Dec 3, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4459PRMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X 4459 PR Yes

Addresses

Primary practice location

172 Calle Almaden
Vega Baja, PR 00693-3635

Mailing address

172 Calle Almaden
Vega Baja, PR 00693-3635

Other providers in Vega Baja, PR

All providers in Vega Baja, PR · Marriage & Family Therapist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.