Individual provider Active NPI

Juan A Rivera-Alicea, PSY.D.

  • Clinical Psychologist
  • Comerio, PR
National Provider Identifier
1093999823
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2891 Issued in PR
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1823HIMDClinical Psychologist
115791IAMDClinical Psychologist
2891PRMDPharmacist

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.

Verify at the official NPI Registry.