Individual provider Active NPI

Julio Juan Rivera Baez Sr., MS

  • Psychologist
  • Mayaguez, PR
National Provider Identifier
1780360644
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
007425 Issued in PR
Practice address
SVS Plaza I Local #208 Carr. #2KM 149.5, Bo. Algarobo
Mayaguez, PR 00682
Phone
(939) 222-7087
NPI assigned
Jun 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 007425 PR
School Psychologist 103TS0200X 007425 PR
Psychologist 103T00000X 007425 PR Primary

Addresses

Primary practice location

SVS Plaza I Local #208 Carr. #2KM 149.5, Bo. Algarobo
Mayaguez, PR 00682

Mailing address

Urb. Monte Sol Calle Jupiter 207
Yauco, PR 00698
Phone (939) 400-1683

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007425PRMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1780360644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. MONTE SOL CALLE JUPITER 207",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "939-400-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SVS PLAZA I LOCAL #208 CARR. #2KM 149.5, BO. ALGAROBO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "939-222-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA BAEZ",
        "first_name": "JULIO",
        "middle_name": "JUAN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "007425",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "007425",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "007425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.