Kristal Marie Rivera

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6875 Issued in PR

Practice address

Calle Padre Rivera
#15 Oeste
Humacao, PR 00791

Phone

(787) 529-1559

NPI assigned

Oct 2, 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

Practice roles

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.

• Centro Psicologico Conductual del Caribe Corp

  • Group Psychotherapy Psychologist
  • Humacao, PR
  • NPI 1831976851
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1801614458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CALLE AMATISTA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251904",
            "telephone_number": "787-529-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PADRE RIVERA",
            "address_2": "#15 OESTE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-529-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KRISTAL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rivera, PHARMACIST
• Emmanuel Rivera, M.D.
• Gerhardt O Rivera, MD
• Jorge Rivera, M.D.
• Jose Pio Rivera Sr., DDS
• Madeline Rivera
• Manuel Rivera, DC
• Meralys Rivera, PHARMACY TECH
• Michelle Marie Rivera
• Nancy Rivera, SLP

• Counseling Psychologist in Humacao, PR
• Providers in Humacao, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.