Javier Pola-Rivera, CNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

2955 Issued in PR

Practice address

C17 Calle Marginal
Bayamon, PR 00961-6706

Phone

(787) 780-1273

Fax

(787) 786-8690

NPI assigned

Jul 14, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1881328912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CASAMIA",
            "address_2": "4713 CALLE PITIRRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007283418",
            "telephone_number": "939-500-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C17 CALLE MARGINAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616706",
            "telephone_number": "787-780-1273",
            "fax_number": "787-786-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLA-RIVERA",
        "first_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "PR",
            "license": "2955",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "73442G",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Clinical Nurse Specialist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.