Individual provider Active NPI

Lunna Taina Rivera, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1831723568
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8262 Issued in PR
Practice address
124 Calle Un
Ponce, PR 00730-3629
Phone
(787) 841-7149
NPI assigned
Mar 3, 2020
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 8262 PR Primary

Addresses

Primary practice location

124 Calle Un
Ponce, PR 00730-3629

Mailing address

HC 5 Box 50388
Aguadilla, PR 00603-9113

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
I20250610000873 PR Practitioner - Clinical Psychologist 8123538162 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Costa Salud Community Health Centers, Inc CurrentSince Apr 25, 2025 Accepting new patients
Costa Salud Community Health Centers, Inc CurrentSince Apr 25, 2025 Accepting new patients
Costa Salud Community Health Centers, Inc. Current Accepting new patients

Locations

106 Calle Colon
Aguada, PR 00602
Phone (787) 252-5500

124 Calle Calazan Lasalle
Moca, PR 00676
Phone (787) 815-5500

28 Calle Munoz Rivera W
Rincon, PR 00677
Phone (787) 823-5500

Organizations & group practices 3

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1831723568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 50388",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CALLE UN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303629",
            "telephone_number": "787-841-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LUNNA",
        "middle_name": "TAINA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.