Active NPI
Nicole Marie Rivera-Berrios
- Research Clinic/Center
- San Juan, PR
National Provider Identifier
1720837057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Practice address
- Clinica Gualberto Rabell, Salud Mental
900 Calle Cerra
San Juan, PR 00907 - Phone
- (787) 640-2307
- NPI assigned
- May 17, 2024
- Last updated
- May 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | Primary |
Addresses
Primary practice location
Clinica Gualberto Rabell, Salud Mental
900 Calle Cerra
San Juan, PR 00907
Mailing address
Urb. Golden Hills
D23 Calle Aniceto Diaz
Trujillo Alto, PR 00976
Phone (787) 640-2307
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1720837057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. GOLDEN HILLS",
"address_2": "D23 CALLE ANICETO DIAZ",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-640-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLINICA GUALBERTO RABELL, SALUD MENTAL",
"address_2": "900 CALLE CERRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-640-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-BERRIOS",
"first_name": "NICOLE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.