Active NPI
Maria Magdalena Colton Rivera, PSY.D.
- Clinical Child & Adolescent Psychologist
- Dorado, PR
National Provider Identifier
1093849028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 2240
- Practice address
- Urb Dorado del Mar
A18 Ninfa del Mar
Dorado, PR 00646-2121 - Phone
- (787) 210-0003
- Fax
- (787) 251-2400
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002240 | PR | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2240 | PR | Primary |
Addresses
Primary practice location
Urb Dorado del Mar
A18 Ninfa del Mar
Dorado, PR 00646-2121
Mailing address
K17 Colina Collores
Urb. Las Colinas
Toa Baja, PR 00949-4919
Phone (787) 210-0003
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230606000233 | PR | Practitioner - Clinical Psychologist | 6103283288 | Practice locations: Dorado, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2240 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1093849028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "K17 COLINA COLLORES",
"address_2": "URB. LAS COLINAS",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494919",
"telephone_number": "787-210-0003",
"fax_number": "787-251-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB DORADO DEL MAR",
"address_2": "A18 NINFA DEL MAR",
"city": "DORADO",
"state": "PR",
"postal_code": "006462121",
"telephone_number": "787-210-0003",
"fax_number": "787-251-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLTON RIVERA",
"first_name": "MARIA",
"middle_name": "MAGDALENA",
"name_prefix": "Mrs.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2023-07-03",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "002240",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PR",
"license": "2240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.