Ivette D. Rivera Riollano, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1699 Issued in PR

Practice address

Carr 2 KM 84.7
Urb Alturas de Hatillo Esquina Jardin
Hatillo, PR 00659

Phone

(787) 367-7279

NPI assigned

May 3, 2007

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ivette D. Rivera Riollano Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1245452648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1974",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591974",
            "telephone_number": "787-367-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 84.7",
            "address_2": "URB ALTURAS DE HATILLO ESQUINA JARDIN",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-367-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIOLLANO",
        "first_name": "IVETTE",
        "middle_name": "D.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSICOLOGA",
            "identifier": "1974",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVETTE",
            "last_name": "RIVERA RIOLLANO",
            "middle_name": "D.",
            "credential": "PSY D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maribel Rios, DMD
• Misael Francisco Riquelme
• Luis Francisco Rivera Cabrera, O.D.
• Axel Zael Rivera Martinez, DC
• Samuel Rivera Natal Sr., MD
• Margarita Rivera Rosado, MA
• Luis Francisco Rivera Sandoval, OD
• Gisela Rivera Vazquez, MD
• Leimir Y Rivera Vazquez, PHARM. D.
• Alexaida Rivera, PSICOLOGA CLINICA

• Clinical Psychologist in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.