Active NPI
Fabian Jose Rivera-Amador, LPC
- Professional Counselor
- Rio Grande, PR
National Provider Identifier
1528868593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4670
- Practice address
- 538 Calle Marina
Rio Grande, PR 00745-4639 - Phone
- (787) 308-6711
- NPI assigned
- Mar 18, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4670 | PR | Primary |
Addresses
Primary practice location
538 Calle Marina
Rio Grande, PR 00745-4639
Mailing address
Union Plaza 416 Avenida Ponce de Leon
Suite 1500
San Juan, PR 00918
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 |
|---|---|---|---|
| 4670 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1528868593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNION PLAZA 416 AVENIDA PONCE DE LEON",
"address_2": "SUITE 1500",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 CALLE MARINA",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007454639",
"telephone_number": "787-308-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-AMADOR",
"first_name": "FABIAN",
"middle_name": "JOSE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "4670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.