Individual provider Active NPI

Elizabeth Cotto Rivera

  • Psychologist
  • Cidra, PR
National Provider Identifier
1164736054
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2637 Issued in PR
Practice address
Calle Barcelo #12 Esquina 173
Cidra, PR 00739-9563
Phone
(939) 241-1944
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2637 PR Primary

Addresses

Primary practice location

Calle Barcelo #12 Esquina 173
Cidra, PR 00739-9563

Mailing address

29 Villa Encantada
Cidra, PR 00739-9563
Phone (939) 241-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713001977 PR Practitioner - Psychologist Billing Independently 6800298845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2637PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Empowerment LLC Psychologist CurrentSince May 21, 2021 Accepting new patients
Grupo Medico Medicina Especializada Single Specialty PastSince Aug 25, 2015 Accepting new patients

Locations

12 Calle Antonio R Barcelo
Cidra, PR 00739
Phone (787) 714-7793

Organizations & group practices 2

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1164736054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 VILLA ENCANTADA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399563",
            "telephone_number": "939-241-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARCELO #12 ESQUINA 173",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399563",
            "telephone_number": "939-241-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTO RIVERA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.