Maily Dennisse Rivera-Maldonado, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6554 Issued in PR

Practice address

400 Ave Domenech Ste 509
San Juan, PR 00918-3705

Phone

(787) 998-1297

NPI assigned

Jan 9, 2020

Last updated

Nov 21, 2021By the provider in NPPES

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

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rivera Emotional Health Center, LLC

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1649937947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1558901371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 509",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183705",
            "telephone_number": "787-998-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 509",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183705",
            "telephone_number": "787-998-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-MALDONADO",
        "first_name": "MAILY",
        "middle_name": "DENNISSE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricarmen Rivera-Iguina, BSW
• Carlos Abdiel Rivera-Lluveras, PSY.D.
• Daris Yaritza Rivera-Lopez, PHARM D
• Denise Rivera-Lugo, MD
• Camila Rivera-Lynch
• Florita Rivera-Martinez
• Arlene M. Rivera-Mass, M.D.
• Enrique Rivera-Mass, M.D.
• Giselle Rivera-Miranda, PHARM.D.
• Iksen Rivera-Morales, M.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Nov 21, 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.