Organization Active NPI

Rivera Emotional Health Center, LLC

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1649937947
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RIVERA EMOTIONAL HEALTH CENTER, LLC
Practice address
400 Ave Domenech Ste 509
San Juan, PR 00918-3705
Phone
(787) 998-1297
NPI assigned
Nov 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Authorized official

Name
Dr. Maily Rivera-Maldonado, PH.D.NPI 1558901371
Title
President
Phone
(787) 967-1467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

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

Mailing address

400 Ave Domenech Ste 509
San Juan, PR 00918-3705
Phone (787) 998-1297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004000001 PR Part B Supplier - Clinic/Group Practice 1658757315 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

400 Ave Domenech
Ste 509
San Juan, PR 00918
Phone (787) 282-8181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1649937947",
    "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": {
        "organization_name": "RIVERA EMOTIONAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA-MALDONADO",
        "authorized_official_first_name": "MAILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-967-1467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.