Active NPI
Kathia M Pena Rios, PHD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1417805045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8826
- Practice address
- 1135 Call 5 Urb. Villa Nevarez
San Juan, PR 00927-5165 - Phone
- (787) 530-6633
- NPI assigned
- Mar 19, 2026
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8826 | PR | Primary |
Addresses
Primary practice location
1135 Call 5 Urb. Villa Nevarez
San Juan, PR 00927-5165
Mailing address
1400 Ave de Diego Urb. Palacios del Escorial
Apt 960
Carolina, PR 00987-4701
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
368 Calle de Diego
Apt 602
San Juan, PR 00923
Cond Palacios de Escorial Apt
Suite 960
Carolina, PR 00987
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8826 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elders of Puerto Rico, PSC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- San Juan, PR
- NPI 1225541949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1417805045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 AVE DE DIEGO URB. PALACIOS DEL ESCORIAL",
"address_2": "APT 960",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009874701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 CALL 5 URB. VILLA NEVAREZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009275165",
"telephone_number": "787-530-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA RIOS",
"first_name": "KATHIA",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "8826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.