Active NPI
Desiree Rivera, PH.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1255455762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2287
- Practice address
- 421 Ave Munoz Rivera
Midtown BLDG, Suite 412
San Juan, PR 00918-3416 - Phone
- (787) 765-4358
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2287 | PR | Primary |
Addresses
Primary practice location
421 Ave Munoz Rivera
Midtown BLDG, Suite 412
San Juan, PR 00918-3416
Mailing address
1500 Ave Los Romeros Apt 907
Jardines de Montehiedra
San Juan, PR 00926
Phone (787) 248-9344
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2287 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255455762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 AVE LOS ROMEROS APT 907",
"address_2": "JARDINES DE MONTEHIEDRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-248-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 AVE MUNOZ RIVERA",
"address_2": "MIDTOWN BLDG, SUITE 412",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183416",
"telephone_number": "787-765-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DESIREE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.