Individual provider Active NPI

Maribel Rivera Cotto, PSYD

  • Psychologist
  • Cidra, PR
National Provider Identifier
1790050342
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2083 Issued in PR
Practice address
Carretera 734 KM 05
Bo. Arenas
Cidra, PR 00739
Phone
(787) 633-2388
NPI assigned
Mar 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2083 PR Primary

Addresses

Primary practice location

Carretera 734 KM 05
Bo. Arenas
Cidra, PR 00739

Mailing address

B34 Jard de Buena Vis
Cayey, PR 00736-3222
Phone (787) 633-2388

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
I20170328002831 PR Practitioner - Clinical Psychologist 1153606405 Practice locations: Aibonito, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2083PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Psicologico Ilo SE LLC Psychologist CurrentSince Aug 13, 2023 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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1790050342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B34 JARD DE BUENA VIS",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363222",
            "telephone_number": "787-633-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 734 KM 05",
            "address_2": "BO. ARENAS",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-633-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA COTTO",
        "first_name": "MARIBEL",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.