Active NPI
Juan A Rivera-Alicea, PSY.D.
- Clinical Psychologist
- Comerio, PR
National Provider Identifier
1093999823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2891
- Practice address
- Carr. 156 Bo. Rio Hondo
Urb Sabana del Palmar
Comerio, PR 00782 - Phone
- (939) 280-7455
- NPI assigned
- Dec 28, 2007
- Last updated
- May 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1823 | HI | |
| Clinical Psychologist | 103TC0700X | 115791 | IA | |
| Clinical Psychologist | 103TC0700X | 2891 | PR | Primary |
Addresses
Primary practice location
Carr. 156 Bo. Rio Hondo
Urb Sabana del Palmar
Comerio, PR 00782
Mailing address
Carr. 156 Bo. Rio Hondo
Urb Sabana del Palmar
Comerio, PR 00782
Phone (939) 280-7455
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 |
|---|---|---|---|
| 1823 | HI | MD | Clinical Psychologist |
| 115791 | IA | MD | Clinical Psychologist |
| 2891 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1093999823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR. 156 BO. RIO HONDO",
"address_2": "URB SABANA DEL PALMAR",
"city": "COMERIO",
"state": "PR",
"postal_code": "00782",
"telephone_number": "939-280-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 156 BO. RIO HONDO",
"address_2": "URB SABANA DEL PALMAR",
"city": "COMERIO",
"state": "PR",
"postal_code": "00782",
"telephone_number": "939-280-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-ALICEA",
"first_name": "JUAN",
"middle_name": "A",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2025-05-06",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "1823",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "115791",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Comerio, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.