Individual provider Active NPI

Carlos Abdiel Rivera-Lluveras, PSY.D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1891813937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2791 Issued in PR
Practice address
Carr. 21 S3 Las Lomas Bo. Monacillos
Office # 2
San Juan, PR 00921
Phone
(787) 638-4338
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2791 PR Primary

Addresses

Primary practice location

Carr. 21 S3 Las Lomas Bo. Monacillos
Office # 2
San Juan, PR 00921

Mailing address

Street 9 I-13 Vista Bella
Bayamon, PR 00956-4838
Phone (787) 638-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2791PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891813937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET 9 I-13 VISTA BELLA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564838",
            "telephone_number": "787-638-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 21 S3 LAS LOMAS BO. MONACILLOS",
            "address_2": "OFFICE # 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-638-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-LLUVERAS",
        "first_name": "CARLOS",
        "middle_name": "ABDIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.