Individual provider Active NPI

Ronald Lopez Rivera, PHD

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1831885946
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7561 Issued in PR
Practice address
500 Grand Blvd Los Prados Apt 1102
Caguas, PR 00727-3402
Phone
(787) 205-1989
NPI assigned
Apr 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 7561 PR Primary

Addresses

Primary practice location

500 Grand Blvd Los Prados Apt 1102
Caguas, PR 00727-3402

Mailing address

500 Grand Blvd Los Prados Apt 1102
Caguas, PR 00727-3402
Phone (787) 205-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: No
  • 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
I20230926002731 PR Practitioner - Clinical Psychologist 0840644712 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7561PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Sep 1, 2023 Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 5

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1831885946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GRAND BLVD LOS PRADOS APT 1102",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273402",
            "telephone_number": "787-205-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRAND BLVD LOS PRADOS APT 1102",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273402",
            "telephone_number": "787-205-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RIVERA",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.