Angel Jose Rivera Gomez, PSY-D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3648 Issued in PR

Practice address

Calle 26 Villa Universitaria
Ba-4
Humacao, PR 00791

Phone

(787) 852-9331

NPI assigned

Jul 10, 2010

Last updated

Jul 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psicologia Avanzada LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humacao, PR
  • NPI 1912372889
  Authorized official Same address or phone

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1447562178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1359",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 26 VILLA UNIVERSITARIA",
            "address_2": "BA-4",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA GOMEZ",
        "first_name": "ANGEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PSY-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3648",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadeyra Rivas Vargas, M.D.
• Efrain Rivera Abreu, MSW
• Frances Rivera Cruz
• Juan Rafael Rivera Diaz, DMD
• Roberto Sharif Rivera Espinosa
• Diomara Beatriz Rivera Laboy, SPEECH THERAPIST
• Gina Liz Rivera Lao
• Nilda Ebony Rivera Ortiz
• Delmara Rivera Rivera, PSY D
• Antonio Rivera Santiago

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.