Individual provider Active NPI

Johamarys D Rivera Santana, PSYD

  • Psychologist
  • Toa Baja, PR
National Provider Identifier
1508710112
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8861 Issued in PR
Practice address
1012 Ave Dos Palmas
Toa Baja, PR 00949-4101
Phone
(787) 949-5557
NPI assigned
Feb 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8861 PR Primary

Addresses

Primary practice location

1012 Ave Dos Palmas
Toa Baja, PR 00949-4101

Mailing address

5005 Camino del Mar Via Cangrejos
Toa Baja, PR 00949
Phone (787) 949-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8861PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Therapy Clinic LLC Current Accepting new patients

Locations

1012 Ave Dos Palmas
Toa Baja, PR 00949
Phone (787) 949-5557

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1508710112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 CAMINO DEL MAR VIA CANGREJOS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-949-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 AVE DOS PALMAS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494101",
            "telephone_number": "787-949-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SANTANA",
        "first_name": "JOHAMARYS",
        "middle_name": "D",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.