Individual provider Active NPI

Jerick Noel Rivera Ruiz

  • Psychologist
  • Camuy, PR
National Provider Identifier
1457248684
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
007738 Issued in PR
Practice address
5 Calle Peter Alfund
Camuy, PR 00627-2911
Phone
(787) 454-2335
NPI assigned
Jun 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 007738 PR Primary

Addresses

Primary practice location

5 Calle Peter Alfund
Camuy, PR 00627-2911

Mailing address

5 Calle Peter Alfund
Camuy, PR 00627-2911
Phone (787) 454-2335

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

LicenseStateTypeSpecialty
007738PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1457248684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE PETER ALFUND",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272911",
            "telephone_number": "787-454-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE PETER ALFUND",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272911",
            "telephone_number": "787-454-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RUIZ",
        "first_name": "JERICK",
        "middle_name": "NOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "007738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.