Active NPI
Rafael Rivera, M.S.
- Psychologist
- San Juan, PR
National Provider Identifier
1467090472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1689
- Practice address
- Ponce de Leon Ave. #435
Hato Rey
San Juan, PR 00917 - Phone
- (787) 641-2323
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 1689 | PR | Primary |
Addresses
Primary practice location
Ponce de Leon Ave. #435
Hato Rey
San Juan, PR 00917
Mailing address
PO Box 9787
San Juan, PR 00908-0787
Phone (787) 368-5312
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1689 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1467090472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9787",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009080787",
"telephone_number": "787-368-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PONCE DE LEON AVE. #435",
"address_2": "HATO REY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-641-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "RAFAEL",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1689",
"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 Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.