Aisha Marie Rivera, LCDA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

7243 Issued in PR

Practice address

Ave Nativo Alers
Edificio Magnolia Suite #1
Aguada, PR 00602-5233

Phone

(787) 868-5149

NPI assigned

Dec 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Prpsycclinica Integral de Servicios Psicoterapeuticos Y Educativos Inc

  • Psychologist
  • Aguada, PR
  • NPI 1679861645
  NPD (past)

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1972262665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5030 PMB 0506",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "939-335-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE NATIVO ALERS",
            "address_2": "EDIFICIO MAGNOLIA SUITE #1",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006025233",
            "telephone_number": "787-868-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "AISHA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "7243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricmd GYN Services P S C
• Madeline Rivera Negron, PSY.D.
• Humberto Rivera Paz, M.D.
• Luis A Rivera Rodriguez
• Victor Javier Rivera-Santiago, M.D.
• Carolina Rivera
• Emery J Rivera
• Enid Rivera, PHARM D
• Maria C Rivera, MA
• Solimayli Rivera, M.D.

• Counseling Psychologist in Aguada, PR
• Providers in Aguada, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.