Brendalie Rivera Torres, PSY

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5862 Issued in PR

Practice address

Urb Provincias del Rio
91 Calle Tayaboa
Coamo, PR 00769

Phone

(939) 579-6236

NPI assigned

May 23, 2018

Last updated

Feb 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1841781036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PROVINCIAS DEL RIO",
            "address_2": "91 CALLE TAYABOA",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "939-579-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PROVINCIAS DEL RIO",
            "address_2": "91 CALLE TAYABOA",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "939-579-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA TORRES",
        "first_name": "BRENDALIE",
        "credential": "PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judibelle Rivera de Jesus, MD
• Jose G Rivera Guilbe, M.D.
• Rosa Angelica Rivera Hernandez, PHD
• Yesaira Rivera Lopez
• William Rivera Rosa, MSW
• Wilmer Rivera Zambrana, SOCIAL WORKER
• Luis G. Rivera-Guilbe, M.D.
• Alma L Rivera
• Elizabeth Rivera
• Hector L. Rivera, MSW

• Clinical Psychologist in Coamo, PR
• Providers in Coamo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.