Active NPI
Maria Socorro Rivera I, PSID
- Forensic Psychologist
- Cayey, PR
National Provider Identifier
1285835165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 1507
- Practice address
- L11 Calle Rubi
Cayey, PR 00736-4865 - Phone
- (787) 738-8211
- NPI assigned
- May 30, 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 1507 | PR | Primary |
Addresses
Primary practice location
L11 Calle Rubi
Cayey, PR 00736-4865
Mailing address
L11 Calle Rubi
Cayey, PR 00736-4865
Phone (787) 738-8211
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1507 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285835165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "L11 CALLE RUBI",
"city": "CAYEY",
"state": "PR",
"postal_code": "007364865",
"telephone_number": "787-738-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "L11 CALLE RUBI",
"city": "CAYEY",
"state": "PR",
"postal_code": "007364865",
"telephone_number": "787-738-8211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARIA",
"middle_name": "SOCORRO",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "PSID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "PR",
"license": "1507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayey, 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.