Active NPI
Angel E Aleman Rivera, PH.D.
- Clinical Psychologist
- San Sebastian, PR
National Provider Identifier
1669104378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7111
- Practice address
- 2 Calle Juan F Cortes Suite 2
San Sebastian, PR 00685-4808 - Phone
- (787) 280-3567
- NPI assigned
- Jun 30, 2022
- Last updated
- Nov 24, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 7111 | PR | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 7111 | PR | |
| Clinical Psychologist | 103TC0700X | 7111 | PR | Primary |
| Clinical Neuropsychologist | 103G00000X | 7111 | PR |
Addresses
Primary practice location
2 Calle Juan F Cortes Suite 2
San Sebastian, PR 00685-4808
Mailing address
2 Calle Juan F Cortes Suite 2
San Sebastian, PR 00685-4808
Phone (787) 415-1390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208003371 | PR | Practitioner - Psychologist Billing Independently | 0345699856 | Practice locations: San Sebastian, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Calle Juan F Cortes
San Sebastian, PR 00685-4808
Phone (787) 415-1390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7111 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1669104378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CALLE JUAN F CORTES SUITE 2",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006854808",
"telephone_number": "787-415-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CALLE JUAN F CORTES SUITE 2",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006854808",
"telephone_number": "787-280-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEMAN RIVERA",
"first_name": "ANGEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-30",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PR",
"license": "7111",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PR",
"license": "7111",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7111",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PR",
"license": "7111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.