Active NPI
Wilmary Rodriguez Rivera
- Psychologist
- Corozal, PR
National Provider Identifier
1942651757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4190
- Practice address
- HC 5 Box 10776
Corozal, PR 00783-9534 - Phone
- (787) 528-9585
- NPI assigned
- Jun 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4190 | PR | Primary |
| School Psychologist | 103TS0200X | 4190 | PR |
Addresses
Primary practice location
HC 5 Box 10776
Corozal, PR 00783-9534
Mailing address
HC 5 Box 10776
Corozal, PR 00783-9534
Phone (787) 528-9585
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 |
|---|---|---|---|
| 4190 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1942651757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 10776",
"city": "COROZAL",
"state": "PR",
"postal_code": "007839534",
"telephone_number": "787-528-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 5 BOX 10776",
"city": "COROZAL",
"state": "PR",
"postal_code": "007839534",
"telephone_number": "787-528-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ RIVERA",
"first_name": "WILMARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "4190",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "4190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.