Active NPI
Pedro Luis Rivera
- Counseling Psychologist
- Humacao, PR
National Provider Identifier
1396073375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3446
- Practice address
- Calle Cruz Ortiz Stella 126
Humacao, PR 00791 - Phone
- (787) 649-6773
- Fax
- (787) 733-2813
- NPI assigned
- Dec 2, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3446 | PR | Primary |
Addresses
Primary practice location
Calle Cruz Ortiz Stella 126
Humacao, PR 00791
Mailing address
PO Box 571
Las Piedras, PR 00771-0571
Phone (787) 314-9053
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3446 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1396073375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 571",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007710571",
"telephone_number": "787-314-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE CRUZ ORTIZ STELLA 126",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-649-6773",
"fax_number": "787-733-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "PEDRO",
"middle_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-02",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.