Dr. Gerardo Manuel Medina Rivera, PhD

Psychologist, Clinical in Yauco, PR. Individual provider (NPI-1).

NPI number1104402007

StatusActive

Last updated in NPPESApr 30, 2024

Details

NPI: 1104402007
Entity type: Individual (NPI-1)
Name: Dr. Gerardo Manuel Medina Rivera
Credential: PhD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 22, 2021
Certification date: Mar 23, 2021
Last updated: Apr 30, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer: Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	6831	PR	Yes

Practice location

Urb. Jardines De Borinquen A-1
Suite 2
Yauco, PR 00698-0069

Phone 787-913-1555

Mailing address

Po Box 1268
Yauco, PR 00698-1268

Phone 787-913-1555

Is something wrong?

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Other Clinical Psychologist providers in Yauco, PR

All 20 Clinical Psychologist providers in Yauco · All 493 providers in Yauco

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