Gina Liz Rivera Lao

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15651 Issued in PR

Practice address

Bo Anton Ruiz Carr 927 K0 H6
Humacao, PR 00791

Phone

(787) 407-9972

NPI assigned

Mar 13, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1750149779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 5847",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919504",
            "telephone_number": "787-407-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO ANTON RUIZ CARR 927 K0 H6",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-407-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LAO",
        "first_name": "GINA",
        "middle_name": "LIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Rivera Cruz
• Juan Rafael Rivera Diaz, DMD
• Roberto Sharif Rivera Espinosa
• Angel Jose Rivera Gomez, PSY-D
• Diomara Beatriz Rivera Laboy, SPEECH THERAPIST
• Nilda Ebony Rivera Ortiz
• Delmara Rivera Rivera, PSY D
• Antonio Rivera Santiago
• Jose A Rivera Vega, RN
• Pedro Antonio Rivera Vega, RN

• Clinical Social Worker in Humacao, PR
• Providers in Humacao, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.