Active NPI
Dennis Rivera, MA, PHD.
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1598727471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0351
- Practice address
- Calle 1 E-19 El Madrigal
Ponce, PR 00730-1421 - Phone
- (787) 841-4576
- Fax
- (787) 841-4576
- NPI assigned
- Apr 5, 2006
- Last updated
- Sep 5, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0351 | PR | Primary |
Addresses
Primary practice location
Calle 1 E-19 El Madrigal
Ponce, PR 00730-1421
Mailing address
PO Box 10664
Ponce, PR 00732-0664
Phone (787) 841-4576
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0351 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1598727471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10664",
"city": "PONCE",
"state": "PR",
"postal_code": "007320664",
"telephone_number": "787-841-4576",
"fax_number": "787-841-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 1 E-19 EL MADRIGAL",
"city": "PONCE",
"state": "PR",
"postal_code": "007301421",
"telephone_number": "787-841-4576",
"fax_number": "787-841-4576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "MA, PHD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "0351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.