Active NPI
Lina I Rivera, MA
- Psychologist
- Toa Baja, PR
National Provider Identifier
1336430479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3466
- Practice address
- 2231 Paseo Amapola
Levittown
Toa Baja, PR 00949-4310 - Phone
- (787) 410-1720
- Fax
- (787) 261-6693
- NPI assigned
- Apr 24, 2011
- Last updated
- Apr 24, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3466 | PR | Primary |
Addresses
Primary practice location
2231 Paseo Amapola
Levittown
Toa Baja, PR 00949-4310
Mailing address
2231 Paseo Amapola
Levittown
Toa Baja, PR 00949-4310
Phone (787) 410-1720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3466 | Other | PR | PSYCHOLOGIST LICENSE |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3466 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303603200000",
"number": "1336430479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 PASEO AMAPOLA",
"address_2": "LEVITTOWN",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494310",
"telephone_number": "787-410-1720",
"fax_number": "787-261-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 PASEO AMAPOLA",
"address_2": "LEVITTOWN",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494310",
"telephone_number": "787-410-1720",
"fax_number": "787-261-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LINA",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-24",
"last_updated": "2011-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE",
"identifier": "3466",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.