Active NPIIndividual provider

Dr. Gerardo M Medina Rivera, PHD

Psychologist, Clinical in Yauco, Puerto Rico

NPI Number1104402007
Practice location
Urb. Jardines De Borinquen A-1, Suite 2, Yauco, PR 00698-0069
Fax
—
Last updated
April 30, 2024

Gerardo Manuel Medina Rivera is a Psychologist, Clinical based in Yauco, PR. Gerardo Manuel Medina Rivera practices in Yauco, PR and has the professional credentials of PHD. The NPI Number for Gerardo Manuel Medina Rivera is 1104402007 and holds a License No. 6831 (PR). The current practice location address for Gerardo Manuel Medina Rivera is Urb. Jardines De Borinquen A-1, Suite 2, Yauco, PR 00698-0069 and can be reached out via phone at 787-913-1555.

Provider Profile Details

NPI Number
1104402007
Provider Name
Gerardo Manuel Medina Rivera
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
Urb. Jardines De Borinquen A-1, Suite 2, Yauco, PR 00698-0069
Phone Number
787-913-1555
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2021
Last Update Date
April 30, 2024
Certification Date
March 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urb. Jardines De Borinquen A-1
Suite 2
Yauco, PR 00698-0069
City
Yauco
Zip
00698-0069
Phone Number
787-913-1555
Yauco, PR 00698Get directions →

Provider Business Mailing Address Details

Address
Po Box 1268
Yauco, PR 00698-1268
City
Yauco
State
PR
Zip
00698-1268
Phone Number
787-913-1555

License Information

License Number
6831
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gerardo M Medina Rivera, PHD?

The NPI number of Dr. Gerardo M Medina Rivera, PHD is 1104402007. It was assigned on March 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Gerardo M Medina Rivera, PHD?

Dr. Gerardo M Medina Rivera, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 6831.

Where does Dr. Gerardo M Medina Rivera, PHD practice?

The practice location is Urb. Jardines De Borinquen A-1, Suite 2, Yauco, PR 00698-0069. The office can be reached at 787-913-1555 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104402007 directly on the NPPES registry website.

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