Angelica Ivette Padilla Rivera

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7587 Issued in PR

Practice address

Torre San Pablo
Calle Santa Cruz #68, Oficina 606
Bayamon, PR 00961

Phone

(787) 909-5359

NPI assigned

Feb 22, 2023

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Clinicamente LLC

  • Clinical Psychologist
  • Bayamon, PR
  • NPI 1700574100
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1518665181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1880",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006221880",
            "telephone_number": "939-278-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN PABLO",
            "address_2": "CALLE SANTA CRUZ #68, OFICINA 606",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-909-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA RIVERA",
        "first_name": "ANGELICA",
        "middle_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga E Pacheco, MD
• Jose L. Padilla Carreras, M.D.
• Samuel Padilla Machuca, MD
• Kaleyni Padilla Quiros, PHARMD
• Suheily Padilla Quiros, PHARMD
• Jose Alexis Padilla Santiago
• Valerie Padilla Toro, MD
• Maria A Padilla-Bruno, M.D
• Gabriel Padilla-Villanueva, D.M.D.
• Eliud Padilla Jr., D.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 Feb 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.