Sandra Ivette Rivera Castro, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4175 Issued in PR

Practice address

#12 Acosta, Esquina Goyco
Suite 202
Caguas, PR 00725

Phone

(787) 602-0089

NPI assigned

Jan 10, 2012

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc.

  • Federally Qualified Health Center (FQHC)
  • Caguas, PR
  • NPI 1548321029
  Medicare reassignment
• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc

  • Nutritionist
  • Caguas, PR
  • NPI 1689179160
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1932479862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#12 ACOSTA, ESQUINA GOYCO",
            "address_2": "SUITE 202",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-602-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#12 ACOSTA, ESQUINA GOYCO",
            "address_2": "SUITE 202",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-602-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA CASTRO",
        "first_name": "SANDRA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaris Rivas
• Cecilmarie Rivera Alicea
• Glorymar Rivera Burgos, COTA/L
• Jessica Rivera Carro
• Sullynette Rivera Cartagena, MSW
• Maria Rivera Fraticelly I, MSM
• Alexis Rivera Gonzalez, MD
• Lorena Rivera Gonzalez
• Valeria Thais Rivera Gonzalez
• Junarys Rivera Lebron

• Clinical Psychologist in Caguas, PR
• Providers in Caguas, 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 Jan 26, 2015; 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.