Active NPI
Emir Sotero Rivera, PSICOLGO
- Clinical Psychologist
- Mayaguez, PR
National Provider Identifier
1972737526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3293
- Practice address
- 410 Ave Hostos Suite 7
Centro Salud Mental de Mayaguez
Mayaguez, PR 00682-1522 - Phone
- (787) 831-3714
- Fax
- (787) 831-3714
- NPI assigned
- May 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3293 | PR | Primary |
Addresses
Primary practice location
410 Ave Hostos Suite 7
Centro Salud Mental de Mayaguez
Mayaguez, PR 00682-1522
Mailing address
PO Box 1167
Anasco, PR 00610-1167
Phone (787) 832-3129
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 |
|---|---|---|---|
| 3293 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1972737526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1167",
"city": "ANASCO",
"state": "PR",
"postal_code": "006101167",
"telephone_number": "787-832-3129",
"fax_number": "787-831-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 AVE HOSTOS SUITE 7",
"address_2": "CENTRO SALUD MENTAL DE MAYAGUEZ",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821522",
"telephone_number": "787-831-3714",
"fax_number": "787-831-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "EMIR",
"middle_name": "SOTERO",
"name_prefix": "Mr.",
"credential": "PSICOLGO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.