Individual provider Active NPI

Glorymar Burgos-Rivera, M.A., M.A.

  • Psychologist
  • San Juan, PR
National Provider Identifier
1679776371
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3560 Issued in PR
Practice address
386 Ave Domenech
San Juan, PR 00918-3719
Phone
(787) 567-0070
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3560 PR Primary

Addresses

Primary practice location

386 Ave Domenech
San Juan, PR 00918-3719

Mailing address

PO Box 963
Hormigueros, PR 00660-0963
Phone (787) 951-6081

Other practice location 1

10 Calle San Antonio
Suite 2B
Hormigueros, PR 00660-1708
Phone (787) 951-6081

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
I20220606002993 PR Practitioner - Clinical Psychologist 4981082716 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Psicoalternativas CurrentSince Sep 3, 2025 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince May 24, 2022 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince May 24, 2022 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Locations

183 Ave Dunscombe
Mayaguez, PR 00682
Phone (787) 613-6918

386 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 567-0070

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1679776371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 963",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600963",
            "telephone_number": "787-951-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183719",
            "telephone_number": "787-567-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle San Antonio",
            "address_2": "Suite 2B",
            "address_purpose": "LOCATION",
            "city": "Hormigueros",
            "state": "PR",
            "postal_code": "006601708",
            "country_code": "US",
            "telephone_number": "787-951-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS-RIVERA",
        "first_name": "GLORYMAR",
        "name_prefix": "Miss",
        "credential": "M.A., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.