Luz I Rivera Pastrana, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1140 Issued in PR

Practice address

43-13 Ave Main
Bayamon, PR 00959-6501

Phone

(787) 486-2288

Fax

(787) 798-4492

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1508924895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9437",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009609437",
            "telephone_number": "787-486-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43-13 AVE MAIN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596501",
            "telephone_number": "787-486-2288",
            "fax_number": "787-798-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Condomino Las Torres Sur",
            "address_2": "Oficina 6E",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009595928",
            "country_code": "US",
            "telephone_number": "787-486-2288",
            "fax_number": "787-798-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA PASTRANA",
        "first_name": "LUZ",
        "middle_name": "I",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2365",
            "identifier": "APS",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9952",
            "identifier": "IMC",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2091",
            "identifier": "HUMANA HEALTH PLANS",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10040",
            "identifier": "LA CRUZ AZUL",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "62995",
            "identifier": "SSS",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Antonio Rivera Mendez, DMD, MS
• Danelis Rivera Morales
• Vanessa Rivera Padilla
• Norma Rivera Pagan, LPT
• Raysa Jared Rivera Pagan
• Luz Ines Rivera Perez, DMD
• Valerie Rivera Perez
• Cesar Rafael Rivera Reveron, M.D.
• Almi Rivera Rivera, MD
• Enrique J Rivera Rivera, M.D.

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, 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 Mar 3, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.