Lyneixa Rivera, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12868 Issued in PR

Practice address

148 Ave Osvaldo Molina
Fajardo, PR 00738-4000

Phone

(787) 860-1987

NPI assigned

Aug 12, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Administracion de Services de Salud Mental Contra la Addicion

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fajardo, PR
  • NPI 1689244121
  NPD

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1740918101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607087",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607087",
            "telephone_number": "787-763-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 AVE OSVALDO MOLINA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384000",
            "telephone_number": "787-860-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LYNEIXA",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-04-30",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "PR",
            "license": "12868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Beatriz Rivera
• Esther Rivera, OTL
• Ileana Rivera, PSYCHOLOGIST
• Juan Rivera, DMD
• Lourdes Graciela Rivera, MSW
• Mei-Ling Rivera, M.D.
• Nancy Rourer Rivera, PHARMACY TECHNICIAN
• Onica Emir Rivera, TF
• Ramon D. Rivera, DMD
• Yanitza Marie Rivera

• All providers in Fajardo, PR
• Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.