Alexis Rodriguez Rivera, MD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

100507993 Issued in PR

Practice address

Calle 6 #241 Parcelas Fortunas
Luquillo, PR 00773

Phone

(787) 406-8039

NPI assigned

Jun 9, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1346979796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 3929",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007739821",
            "telephone_number": "787-406-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 6 #241 PARCELAS FORTUNAS",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-406-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "ALEXIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "100507993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "6126437",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6126437",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Maria Rivera
• Cynthia Odaly Robles Perez
• Sol A Robles, MD
• Gabriela Isabel Rodriguez Leduc
• Nancy Rodriguez Otero, PSY.D.
• Tania Rodriguez, MS, SLP
• Ana Marie Roman, EDD, MSW
• Jodys L Salgado Cintron, M.D.
• Josely Haydee Sanchez, CPL
• Lisandra Santiago, PSY D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.