Individual provider Active NPI

David Osvaldo Rivera Negron, PH.D.

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1164138640
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7606 Issued in PR
Practice address
Carr. 190 KM. 1.8, Sabana Abajo
Carolina, PR 00983
Phone
(787) 789-1996
NPI assigned
Jan 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7606 PR Primary

Addresses

Primary practice location

Carr. 190 KM. 1.8, Sabana Abajo
Carolina, PR 00983

Mailing address

HC 2 Box 13034
Aibonito, PR 00705-9600
Phone (787) 941-2767

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
I20230402000023 PR Practitioner - Clinical Psychologist 2365817533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc Clinical Current Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Mar 1, 2023 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Mar 1, 2023 Accepting new patients

Locations

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

400 Ave Franklin D Roosevelt
Ste 101
San Juan, PR 00918
Phone (809) 765-7713

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1164138640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 13034",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007059600",
            "telephone_number": "787-941-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 190 KM. 1.8, SABANA ABAJO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-789-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA NEGRON",
        "first_name": "DAVID",
        "middle_name": "OSVALDO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.