Individual provider Active NPI

Maribel Rivera

  • Psychologist
  • Guaynabo, PR
National Provider Identifier
1508073164
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1624 Issued in PR
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

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.