Active NPI
Glendalys Rivera-Reyes, PH.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1295385243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6123
- Practice address
- 475 Calle Cesar Gonzalez
San Juan, PR 00918-2637 - Phone
- (787) 219-9863
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 6123 | PR | Primary |
Addresses
Primary practice location
475 Calle Cesar Gonzalez
San Juan, PR 00918-2637
Mailing address
PO Box 746
Adjuntas, PR 00601-0746
Phone (787) 219-9863
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 |
|---|---|---|---|
| 6123 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1295385243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746",
"city": "ADJUNTAS",
"state": "PR",
"postal_code": "006010746",
"telephone_number": "787-219-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 CALLE CESAR GONZALEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182637",
"telephone_number": "787-219-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-REYES",
"first_name": "GLENDALYS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Liliana Rivera-Negron, MD
- Kathy Lee Rivera-Nieves, PHARM D
- Zilkia Mara Rivera-Orraca, PH.D.
- Marilyn Rivera-Paoli, M.D.
- Andrea M Rivera-Ramos, PHD
- Anibal Rivera-Rivera, M.D
- Naiomi Rivera-Rivera, PHD
- Stephanie Rivera-Rivera
- Christopher Jose Rivera-Rodriguez, DMD, MPH, MSMS
- Jose Alberto Rivera-Rodriguez, MEDICINE DOCTOR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.