Individual provider Active NPI

Carolina Mercedes Rios, PSYD

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1487461455
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8255 Issued in PR
Practice address
102 Calle Francisco Jaurregui
Arecibo, PR 00612-4572
Phone
(787) 816-5041
NPI assigned
Dec 13, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8255 PR Primary

Addresses

Primary practice location

102 Calle Francisco Jaurregui
Arecibo, PR 00612-4572

Mailing address

102 Calle Francisco Jaurregui
Arecibo, PR 00612-4572
Phone (787) 816-5041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611002874 PR Practitioner - Psychologist Billing Independently 4789194309 Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8255PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanama Healthcare LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

102 Calle Francisco Jaurregui
Arecibo, PR 00612
Phone (787) 816-5041

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1487461455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CALLE FRANCISCO JAURREGUI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124572",
            "telephone_number": "787-816-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CALLE FRANCISCO JAURREGUI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124572",
            "telephone_number": "787-816-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "CAROLINA",
        "middle_name": "MERCEDES",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.