Active NPI
Indhira M Rivas
- School Psychologist
- San Juan, PR
National Provider Identifier
1528584232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 5542
- Practice address
- 1551 Calle Victoria Santurce
San Juan, PR 00912 - Phone
- (787) 722-9595
- NPI assigned
- Aug 15, 2017
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 5542 | PR | Primary |
Addresses
Primary practice location
1551 Calle Victoria Santurce
San Juan, PR 00912
Mailing address
St. 18 Q53
Villas de Loiza
Canovanas, PR 00729-4258
Phone (787) 550-3369
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5542 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1528584232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST. 18 Q53",
"address_2": "VILLAS DE LOIZA",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007294258",
"telephone_number": "787-550-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 CALLE VICTORIA SANTURCE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00912",
"telephone_number": "787-722-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "INDHIRA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "PR",
"license": "5542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.