Active NPI
Idalis Rivera Blanco, PSY.D.
- Psychologist
- Barranquitas, PR
National Provider Identifier
1396191581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2790
- Practice address
- Carretera 143 KM 53.9
Bo Helechal
Barranquitas, PR 00794 - Phone
- (787) 460-3698
- NPI assigned
- May 6, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2790 | PR | Primary |
Addresses
Primary practice location
Carretera 143 KM 53.9
Bo Helechal
Barranquitas, PR 00794
Mailing address
10 Calle Ebenezer
Aibonito, PR 00705
Phone (787) 460-3698
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 |
|---|---|---|---|
| 2790 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1396191581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CALLE EBENEZER",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-460-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 143 KM 53.9",
"address_2": "BO HELECHAL",
"city": "BARRANQUITAS",
"state": "PR",
"postal_code": "00794",
"telephone_number": "787-460-3698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA BLANCO",
"first_name": "IDALIS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "2790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barranquitas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.