Iris F Rivera Bermudez, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

005544 Issued in PR

Practice address

Urb Miraflores
4 Avenida Los Dominicos
Bayamon, PR 00956

Phone

(939) 358-1405

NPI assigned

Sep 14, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1881209054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND ALCAZAR",
            "address_2": "500 C/VALCARCEL APT 19",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "939-358-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB MIRAFLORES",
            "address_2": "4 AVENIDA LOS DOMINICOS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "939-358-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA BERMUDEZ",
        "first_name": "IRIS",
        "middle_name": "F",
        "name_prefix": "Miss",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "005544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "005544",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ZOOM",
            "affiliation": "N",
            "endpointDescription": "APP",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "SKYPE",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "URB MIRAFLORES",
            "address_2": "4 AVENIDA LOS DOMINICOS",
            "city": "BAYAMON",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Riva Internal Medicine Integrated Services PSC
• Elsa Rivas, PSY. D.
• Lino Daniel Rivera Arbelo, MD
• Marangely Rivera Ayala
• Cesar Yullian Rivera Barreto, MD
• Ileana Rivera Bonilla, MD
• Rene Rivera Collazo Sr.
• Dalinette Rivera Colon, RPT
• Angel Raul Rivera Cotto Sr., MD
• Ellen Christina Rivera Cruz, M.D.

• Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.