Active NPI
Luis Orlando Pino Rivera, PSYD
- Psychologist
- Guaynabo, PR
National Provider Identifier
1174145718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1577
- Practice address
- T26 Calle Alabama
Guaynabo, PR 00969-3912 - Phone
- (787) 632-1022
- NPI assigned
- May 16, 2020
- Last updated
- May 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1577 | PR | Primary |
Addresses
Primary practice location
T26 Calle Alabama
Guaynabo, PR 00969-3912
Mailing address
T26 Calle Alabama
Guaynabo, PR 00969-3912
Phone (787) 632-1022
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 |
|---|---|---|---|
| 1577 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589587200000",
"number": "1174145718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T26 CALLE ALABAMA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693912",
"telephone_number": "787-632-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "T26 CALLE ALABAMA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693912",
"telephone_number": "787-632-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINO RIVERA",
"first_name": "LUIS",
"middle_name": "ORLANDO",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-16",
"last_updated": "2020-05-16",
"certification_date": "2020-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.