Individual provider Active NPI

Maria Magdalena Colton Rivera, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Dorado, PR
National Provider Identifier
1093849028
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
2240 Issued in PR
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606000233 PR Practitioner - Clinical Psychologist 6103283288 Practice locations: Dorado, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2240PRMDSpeech-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

Verify at the official NPI Registry.