Krystel Marie Rivera Chaves, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6691 Issued in PR

Practice address

Bo Minillas Carr 102 KM 36 HC 4
San German, PR 00683

Phone

(787) 673-4234

NPI assigned

Nov 9, 2021

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1487310009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 7520",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839633",
            "telephone_number": "787-673-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MINILLAS CARR 102 KM 36 HC 4",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-673-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA CHAVES",
        "first_name": "KRYSTEL",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6691",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "6691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reome, LLC
• Kristal Rosuan Reyes Sanchez
• Maria Eugenia Rios-Enriquez, MD
• Jesus E Rivera Baez, MD
• Ambar Gerianna Rivera Castillo, CD/PCD(DONA)
• Marlene Diane Rivera Ferrer
• Shirley A. Rivera Rolon
• Gabriel Rivera Sepulveda, M.D.
• Sanycha T Rivera-Ramos, PHARMD
• Dalila Rivera-Vargas

• Clinical Psychologist in San German, PR
• Providers in San German, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.