Active NPI
Keishla M Rivera
- Counseling Psychologist
- Aibonito, PR
National Provider Identifier
1922657709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6420
- Practice address
- Calle Julio Cintron 202
Edificio Guayacan Oficina 107
Aibonito, PR 00705 - Phone
- (787) 445-5366
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6420 | PR | Primary |
Addresses
Primary practice location
Calle Julio Cintron 202
Edificio Guayacan Oficina 107
Aibonito, PR 00705
Mailing address
Villa Fontana Park
Calle Parque Asturias 5X9
Carolina, PR 00983
Phone (787) 445-5366
Other practice location 1
Villa Fontana Park
Calle Parque Asturias 5X9
Carolina, PR 00983
Phone (787) 445-5366
Other names 1
- Miss Keishla M Rivera
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kmr.psyc@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6420 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1922657709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLA FONTANA PARK",
"address_2": "CALLE PARQUE ASTURIAS 5X9",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-445-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE JULIO CINTRON 202",
"address_2": "EDIFICIO GUAYACAN OFICINA 107",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-445-5366"
}
],
"practiceLocations": [
{
"address_1": "VILLA FONTANA PARK",
"address_2": "CALLE PARQUE ASTURIAS 5X9",
"address_purpose": "LOCATION",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"country_code": "US",
"telephone_number": "787-445-5366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "KEISHLA",
"middle_name": "M",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6420",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kmr.psyc@gmail.com",
"affiliation": "N",
"address_1": "CALLE JULIO CINTRON 202",
"address_2": "EDIFICIO GUAYACAN OFICINA 107",
"city": "AIBONITO",
"state": "PR",
"country_code": "US",
"postal_code": "00705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KEISHLA",
"last_name": "RIVERA",
"middle_name": "M",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.