Active NPI
Maribel Rivera
- Psychologist
- Guaynabo, PR
National Provider Identifier
1508073164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1624
- Practice address
- Centro Internacional de Mercadeo Torre 165 1 Suite 401
Guaynabo, PR 00968 - Phone
- (787) 638-0324
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1624 | PR | Primary |
Addresses
Primary practice location
Centro Internacional de Mercadeo Torre 165 1 Suite 401
Guaynabo, PR 00968
Mailing address
Coop. Ciudad Universitaria Ave. Periferal 1
Apt. 905
Trujillo Alto, PR 00976-2124
Phone (787) 638-0324
Other practice location 1
66 Ave Degetau Apt 162
Caguas, PR 00725-5843
Phone (787) 745-0630
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1508073164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COOP. CIUDAD UNIVERSITARIA AVE. PERIFERAL 1",
"address_2": "APT. 905",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762124",
"telephone_number": "787-638-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO INTERNACIONAL DE MERCADEO TORRE 165 1 SUITE 401",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-638-0324"
}
],
"practiceLocations": [
{
"address_1": "66 Ave Degetau Apt 162",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "007255843",
"country_code": "US",
"telephone_number": "787-745-0630",
"fax_number": "787-745-0630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "MARIBEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.