Individual provider Active NPI

Ivemarie Hernandez Rivera

  • Counseling Psychologist
  • Cayey, PR
National Provider Identifier
1942984950
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6796 Issued in PR
Practice address
A 3 Ave Miguel Melendez Munoz
Cayey, PR 00736-4619
Phone
(787) 602-6624
NPI assigned
Jun 12, 2023
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6796 PR
Counseling Psychologist 103TC1900X 6796 PR Primary

Addresses

Primary practice location

A 3 Ave Miguel Melendez Munoz
Cayey, PR 00736-4619

Mailing address

PO Box 327
Aguas Buenas, PR 00703-0327
Phone (787) 242-2955

Other practice location 1

1751 Asomante Street Summit Hills
San Juan, PR 00920
Phone (787) 242-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210003230 PR Practitioner - Psychologist Billing Independently 5799211082 Practice locations: Cayey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6796PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ic Nutrition LLC CurrentSince Jan 12, 2025 Accepting new patients
Oleira, LLC CurrentSince Oct 27, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1942984950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007030327",
            "telephone_number": "787-242-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A 3 AVE MIGUEL MELENDEZ MUNOZ",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364619",
            "telephone_number": "787-602-6624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 Asomante Street Summit Hills",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00920",
            "country_code": "US",
            "telephone_number": "787-242-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ RIVERA",
        "first_name": "IVEMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6796",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.