Individual provider Active NPI

Elizabeth Rivera-Ocasio

  • Psychologist
  • Bayamon, PR
National Provider Identifier
1659853406
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6122 Issued in PR
Practice address
58 Esteban Padilla
Bayamon, PR 00960
Phone
(787) 690-2093
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6122 PR Primary

Addresses

Primary practice location

58 Esteban Padilla
Bayamon, PR 00960

Mailing address

Villas del Sol
714 Calle Merida
Carolina, PR 00985-5116
Phone (787) 690-2093

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251203001628 PR Practitioner - Clinical Psychologist 4880187350 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

58 Esteban Padilla
Suite 1
Bayamon, PR 00959-6706
Phone (787) 219-5444

714 Calle Merida
Carolina, PR 00985

714 Calle Merida
Carolina, PR 00985-5116

714 Merida St
Urb Villas del Sol
Carolina, PR 00985-5116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6122PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1659853406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLAS DEL SOL",
            "address_2": "714 CALLE MERIDA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855116",
            "telephone_number": "787-690-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 ESTEBAN PADILLA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-690-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-OCASIO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.