Individual provider Active NPI

Nemesis Rivera Flores, MA

  • Psychologist
  • Arecibo, PR
National Provider Identifier
1538812086
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6417 Issued in PR
Practice address
Carr. 2 KM 70.5 Bo Domingo Ruiz
Arecibo, PR 00612
Phone
(787) 879-2098
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6417 PR
Psychologist 103T00000X 6417 PR Primary

Addresses

Primary practice location

Carr. 2 KM 70.5 Bo Domingo Ruiz
Arecibo, PR 00612

Mailing address

PO Box 772
Sabana Hoyos, PR 00688-0772
Phone (787) 988-3446

Other identifiers 2

IdentifierTypeStateIssuer
10441320016OtherPRREGISTRO DE COMERCIANTE
6417OtherPRLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://clinicadeterapiainfantilsolecitos.com/

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6417PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Bienestar Emocional PastSince Feb 6, 2022 Accepting new patients

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": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1538812086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "SABANA HOYOS",
            "state": "PR",
            "postal_code": "006880772",
            "telephone_number": "787-988-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 2 KM 70.5 BO DOMINGO RUIZ",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA FLORES",
        "first_name": "NEMESIS",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2024-04-30",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6417",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO DE COMERCIANTE",
            "identifier": "10441320016",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6417",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://clinicadeterapiainfantilsolecitos.com/",
            "affiliation": "N",
            "endpointDescription": "Servicios psicologico",
            "address_1": "Bo Bayaney Hatillo PR",
            "city": "Hatillo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.