Individual provider Active NPI

Luis Joel Rivera, MD

  • Psychiatry Physician
  • Guaynabo, PR
National Provider Identifier
1174771067
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18235 Issued in PR
Practice address
17 Calle 2 Ste 520
Guaynabo, PR 00968-1750
Phone
(787) 622-9797
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18235 PR Primary

Addresses

Primary practice location

17 Calle 2 Ste 520
Guaynabo, PR 00968-1750

Mailing address

RR 18 Box 661
San Juan, PR 00926-9718
Phone (787) 462-3218

Other practice location 1

University District Hospital
Medical Center Udh 2 PO 2116
San Juan, PR 00922-2116
Phone (787) 758-2525

Other identifiers 1

IdentifierTypeStateIssuer
18235OtherPRLICENSE

Other names 1

  • Luis Joel Rivera Rivera Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031001324 PR Practitioner - Psychiatry 4880815026 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18235PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catharsis LLC Psychiatry CurrentSince Jan 5, 2025 Accepting new patients
Emotional Connect LLC Psychiatry CurrentSince Sep 15, 2022 Accepting new patients
Community Health Foundation of Puerto Rico, Inc. Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
Community Health Foundation of Puerto Rico, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Metro Hato Rey Inc Past Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

17 Calle 2
Ste 520
Guaynabo, PR 00968
Phone (787) 248-1302

867 Ave Munoz Rivera
#102
San Juan, PR 00925
Phone (787) 462-3218

867 Ave Munoz Rivera
#1
San Juan, PR 00925
Phone (787) 462-3218

Organizations & group practices 6

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1174771067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 18 BOX 661",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269718",
            "telephone_number": "787-462-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE 2 STE 520",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681750",
            "telephone_number": "787-622-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University District Hospital",
            "address_2": "Medical Center Udh 2 PO 2116",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009222116",
            "country_code": "US",
            "telephone_number": "787-758-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LUIS",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "18235",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "RIVERA RIVERA",
            "middle_name": "JOEL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.