Individual provider Active NPI

Maria del Mar Rivera Batalla, PSY.D.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1760625388
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3292 Issued in PR
Practice address
Rovira Office Park 623
Ave la Ceiba Suite 201
Ponce, PR 00717
Phone
(939) 238-9856
NPI assigned
Apr 13, 2009
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 3292 PR Primary

Addresses

Primary practice location

Rovira Office Park 623
Ave la Ceiba Suite 201
Ponce, PR 00717

Mailing address

Est del Monte
24 Calle Rio Abajo
Coto Laurel, PR 00780-2201
Phone (939) 238-9856

Other practice location 1

Executive Hall Calle Ferrocarril 471
Suite 103 A
Ponce, PR 00716
Phone (939) 238-9856

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
I20210715004120 PR Practitioner - Clinical Psychologist 9436551215 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eternity Health LLC Clinical CurrentSince Feb 1, 2025 Accepting new patients
Inspira Mental Health Management PastSince Apr 7, 2021 Accepting new patients

Locations

623 Ave La Ceiba
Ste 201
Ponce, PR 00717
Phone (787) 392-3018

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1760625388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EST DEL MONTE",
            "address_2": "24 CALLE RIO ABAJO",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802201",
            "telephone_number": "939-238-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROVIRA OFFICE PARK 623",
            "address_2": "AVE LA CEIBA SUITE 201",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "939-238-9856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Executive Hall Calle Ferrocarril 471",
            "address_2": "Suite 103 A",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00716",
            "country_code": "US",
            "telephone_number": "939-238-9856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA BATALLA",
        "first_name": "MARIA DEL MAR",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.