Active NPI
Ivemarie Hernandez Rivera
- Counseling Psychologist
- Cayey, PR
National Provider Identifier
1942984950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6796
- 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, 2024
- 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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241210003230 | PR | Practitioner - Psychologist Billing Independently | 5799211082 | Practice locations: Cayey, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6796 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ic Nutrition LLC | Current | Accepting new patients | |
| Oleira, LLC | Current | 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.
-
- Registered Dietitian
- Cayey, PR
- NPI 1013727353
-
- Registered Dietitian
- Cayey, PR
- NPI 1285360776
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
- Healthcare Ambulatory Services Inc-Cayey (Salus Urgent Care)
- Hematology & Oncology Medical Service PCS
- David Heredia Sierra, MD
- Victor Manuel Hernandez Flores, M.D.
- Cecilia Hernandez Rivera, MRC
- Lizvette Hernandez Roman
- Eric Gilberto Hernandez-Ortiz, MD
- Alexandra Hernandez, PHARMD
- Juan C Hernandez, DMD
- Mario J Herrera, DMD
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.