Individual provider Active NPI

Nancy I Merced Rivera

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1821150061
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5496 Issued in PR
Practice address
Ave. Luis Munoz Marin
Urb. Santa Juan Calle 12 J 1
Caguas, PR 00725
Phone
(787) 980-5606
NPI assigned
Dec 14, 2006
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 297 PR
Clinical Psychologist 103TC0700X 5496 PR Primary

Addresses

Primary practice location

Ave. Luis Munoz Marin
Urb. Santa Juan Calle 12 J 1
Caguas, PR 00725

Mailing address

Ave. Luis Munoz Marin 20
Urb Villa Blanca PMB 175
Caguas, PR 00725
Phone (787) 980-5606

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
I20151113001712 PR Practitioner - Clinical Psychologist 5799095121 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

J1 Calle
Suite 12
Caguas, PR 00725-2098
Phone (787) 980-5606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5496PRMDPharmacist
297PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Servicios Integrados Respira Psychologist CurrentSince May 24, 2022 Accepting new patients

Locations

20 Ave Lmm
Ste 1
Caguas, PR 00725

20 Ave Luis Munoz Marin
Caguas, PR 00725

J1 Calle 12
Caguas, PR 00725
Phone (787) 567-7716

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, 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1821150061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. LUIS MUNOZ MARIN 20",
            "address_2": "URB VILLA BLANCA PMB 175",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-980-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LUIS MUNOZ MARIN",
            "address_2": "URB. SANTA JUAN CALLE 12 J 1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-980-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCED RIVERA",
        "first_name": "NANCY",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "297",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.