Elizabeth Carlo Rivera, PHD IN CL PSYCH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3434 Issued in PR

Practice address

Policlinica Bella Vista 770 Ave Hostos Ofic 302
Mayaguez, PR 00682

Phone

(787) 384-1795

Fax

(787) 834-9597

NPI assigned

Jan 13, 2012

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

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1245501766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 C-26 REPARTO ANAIDA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162534",
            "telephone_number": "787-384-1795",
            "fax_number": "787-834-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POLICLINICA BELLA VISTA 770 AVE HOSTOS OFIC 302",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-384-1795",
            "fax_number": "787-834-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLO RIVERA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD IN CL PSYCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caribe Pathology CSP
• Caribe Pharmacy Management LLC
• Caribe Pharmacy Management LLC
• Jorge Luis Carlo Font, M. D.
• Edgar Carlo Frontera, PHARMD
• Griselle E Carlo, MS, MT
• Rosa Esther Carlo
• Carmen Pino Lopez Castro
• Milagros Carmenatty
• Natalie Ann Caro de Leon

• Clinical Psychologist in Mayaguez, PR
• Providers in Mayaguez, 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 Aug 25, 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.