Jose Rivas-Abraham, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1484 Issued in PR

Practice address

San Jorge Medical Building 258
Suite 204,
Santurce, PR 00912

Phone

(787) 728-3800

Fax

(787) 728-3850

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255488961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE AZUCENA 1",
            "address_2": "URB. RIO PIEDRAS VALLEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261426",
            "telephone_number": "787-728-3800",
            "fax_number": "787-728-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL BUILDING 258",
            "address_2": "SUITE 204,",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-728-3800",
            "fax_number": "787-728-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS-ABRAHAM",
        "first_name": "JOSE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Santurce, PR
• Providers in Santurce, 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, 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.

Verify at the official NPI Registry.