Active NPI
Jonathan Rivera
- Counseling Psychologist
- San Juan, PR
National Provider Identifier
1033808647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 006891
- Practice address
- Urb University GDNS
San Juan, PR 00927-4820 - Phone
- (787) 617-5684
- NPI assigned
- May 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 006891 | PR | Primary |
Addresses
Primary practice location
Urb University GDNS
San Juan, PR 00927-4820
Mailing address
Urb University GDNS
San Juan, PR 00927-4820
Phone (787) 617-5684
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006891 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1033808647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB UNIVERSITY GDNS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274820",
"telephone_number": "787-617-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB UNIVERSITY GDNS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274820",
"telephone_number": "787-617-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "006891",
"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 May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.