Individual provider Active NPI

Miguel a Rodriguez Rivera, MS

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1659587996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000483 Issued in PR
Practice address
Calle Acosta Numero 32
Suite 214
Caguas, PR 00726-1866
Phone
(787) 258-0740
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 000483 PR Primary

Addresses

Primary practice location

Calle Acosta Numero 32
Suite 214
Caguas, PR 00726-1866

Mailing address

PO Box 1866
Caguas Norte Sta
Caguas, PR 00726-1866
Phone (787) 258-0740

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 Science

State licenses

LicenseStateTypeSpecialty
000483PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659587996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "address_2": "CAGUAS NORTE STA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261866",
            "telephone_number": "787-258-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ACOSTA NUMERO 32",
            "address_2": "SUITE 214",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261866",
            "telephone_number": "787-258-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "MIGUEL A",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "000483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.