Omar Pena-Rivera

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5848 Issued in PR

Practice address

20 Zaya Verde
Hato Tejas
Bayamon, PR 00959-4848

Phone

(787) 324-5781

NPI assigned

Mar 16, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1669913190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ZAYA VERDE",
            "address_2": "HATO TEJAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594848",
            "telephone_number": "787-324-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ZAYA VERDE",
            "address_2": "HATO TEJAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594848",
            "telephone_number": "787-324-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-RIVERA",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dora Isella Pedrosa, MD
• Norberto Pellot, M.D
• Rosalyn Pena Gonzalez, DR
• Estefany Pena Hilario, MD, RDMS, SG
• Nayda Y Pena-Ramos, R.PH.
• Jose R Pena V, MD
• Mercedes Luisa Pena
• Marielix Peraza Felix, LND
• Nahyr G Peraza, RPH
• Joanne Marie Perdomo Fuentes

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.