Odette S Rivera Rivera, MCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7661 Issued in PR

Practice address

623 Ave Ponce de Leon Ste 1101B
San Juan, PR 00917-4829

Phone

(939) 272-1986

NPI assigned

Oct 8, 2020

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

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1366049702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 7 BOX 7370",
            "address_2": "PMB 287",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269132",
            "telephone_number": "939-272-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 AVE PONCE DE LEON STE 1101B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174829",
            "telephone_number": "939-272-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIVERA",
        "first_name": "ODETTE",
        "middle_name": "S",
        "credential": "MCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "7661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Areliz Rivera Rivera
• Carlos R Rivera Rivera, RPH
• Kevin Jose Rivera Rivera
• Llelenys Paola Rivera Rivera, DMD
• Lydia Raquel Rivera Rivera, O.T.A.
• Omayra Rivera Rivera, PH.D.
• Paola Marie Rivera Rivera
• Yamilette Rivera Rivera, MD
• Jamie Lee Rivera Robles, PHARMD
• Cristina Maria Rivera Rodriguez, ND

• Clinical Social Worker in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.