Individual provider Active NPI

Hilda Maria Rivera Marin, PSYD.

  • Clinical Psychologist
  • Hato Rey, PR
National Provider Identifier
1962969113
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6274 Issued in PR
Practice address
712 Ave Ponce de Leon
Hato Rey, PR 00918-4512
Phone
(787) 507-7180
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 6274 PR Primary

Addresses

Primary practice location

712 Ave Ponce de Leon
Hato Rey, PR 00918-4512

Mailing address

Urb Garden Hills
A8 Arturo R Mujica
Guaynabo, PR 00966-2137
Phone (787) 645-4549

Other practice location 1

Urb Garden Hills
A8 Arturo R Mujica
Guaynabo, PR 00966-2137
Phone (787) 645-4549

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
I20191009002389 PR Practitioner - Clinical Psychologist 5294066023 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

712 Ave Ponce de Leon
San Juan, PR 00918-4518
Phone (787) 507-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6274PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Hupman M.D., LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1962969113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB GARDEN HILLS",
            "address_2": "A8 ARTURO R MUJICA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662137",
            "telephone_number": "787-645-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 AVE PONCE DE LEON",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009184512",
            "telephone_number": "787-507-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb Garden Hills",
            "address_2": "A8 Arturo R Mujica",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009662137",
            "country_code": "US",
            "telephone_number": "787-645-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA MARIN",
        "first_name": "HILDA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.