Individual provider Active NPI

Sandra Rivera Torres, PSY D

  • Clinical Psychologist
  • Yauco, PR
National Provider Identifier
1730474875
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4036 Issued in PR
Practice address
Bo Susua Baja Sector 4 Calles Carr 121 KM 3.8 Solar 1
Yauco, PR 00698-4188
Phone
(787) 964-1190
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4036 PR Primary

Addresses

Primary practice location

Bo Susua Baja Sector 4 Calles Carr 121 KM 3.8 Solar 1
Yauco, PR 00698-4188

Mailing address

PO Box 5004 PMB 130
Yauco, PR 00698-5004
Phone (787) 964-1190

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
I20150410001134 PR Practitioner - Clinical Psychologist 6507184199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4036PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Accion de Vida Integral Sr Corporacion Clinical CurrentSince Jul 10, 2017 Accepting new patients

Organizations & group practices 1

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1730474875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5004 PMB 130",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985004",
            "telephone_number": "787-964-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO SUSUA BAJA SECTOR 4 CALLES CARR 121 KM 3.8 SOLAR 1",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006984188",
            "telephone_number": "787-964-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA TORRES",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.