Debora J. Rivera Roman, M.S

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5861 Issued in PR

Practice address

Carretera 107 K.M 1.2
Barrio Borinquen
Aguadilla, PR 00603

Phone

(787) 981-4926

NPI assigned

Apr 2, 2021

Last updated

Apr 2, 2021By 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

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

Master of Science

State licenses

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1265011787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 50371",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039112",
            "telephone_number": "787-981-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 107 K.M 1.2",
            "address_2": "BARRIO BORINQUEN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-981-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ROMAN",
        "first_name": "DEBORA",
        "middle_name": "J.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coralys Nicole Rivera Loperena, PHARMD
• Hector Josue Rivera Orozco
• Edgar Rafael Rivera Ortiz, D.C.
• Darlene Rivera Rodriguez
• Jose E Rivera Rodriguez, MD
• Gerardo Rivera Roman, MD
• Angeliz Rivera Sosa
• Luis H Rivera-Carpio, M. D.
• Carlos Manuel Rivera
• Carmen Vivian Rivera, M.D.

• Psychologist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.