Individual provider Active NPI

Melba Grecia Rivera Delgado, PSYD

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1932949138
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
07851 Issued in PR
Practice address
538 Ave Jose Cedeno
Suite 3
Arecibo, PR 00612-3962
Phone
(787) 399-6055
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 07851 PR Primary

Addresses

Primary practice location

538 Ave Jose Cedeno
Suite 3
Arecibo, PR 00612-3962

Mailing address

538 Ave Jose Cedeno
Ste 3
Arecibo, PR 00612-3962
Phone (787) 399-6055

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240904003302 PR Practitioner - Clinical Psychologist 3274073325 Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07851PRMDClinical Psychologist
7851PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1932949138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 AVE JOSE CEDENO",
            "address_2": "STE 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123962",
            "telephone_number": "787-399-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 AVE JOSE CEDENO",
            "address_2": "SUITE 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123962",
            "telephone_number": "787-399-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DELGADO",
        "first_name": "MELBA",
        "middle_name": "GRECIA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "07851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.