Active NPI
Lina Maria Rivera
- Rehabilitation Psychologist
- Altamonte Springs, FL
National Provider Identifier
1073175170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 566 Calibre Crest Pkwy Apt 103
Altamonte Springs, FL 32714-3628 - Phone
- (407) 574-9193
- NPI assigned
- Jun 28, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | Primary |
Addresses
Primary practice location
566 Calibre Crest Pkwy Apt 103
Altamonte Springs, FL 32714-3628
Mailing address
566 Calibre Crest Pkwy Apt 103
Altamonte Springs, FL 32714-3628
Phone (407) 574-9193
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1073175170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 CALIBRE CREST PKWY APT 103",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143628",
"telephone_number": "407-574-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 CALIBRE CREST PKWY APT 103",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143628",
"telephone_number": "407-574-9193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LINA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.