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DR. GERARDO MANUEL MEDINA RIVERA PHD
NPI 1104402007
Psychologist - Clinical in Yauco, PR

Active since March 22, 2021PECOS Enrolled
URB. JARDINES DE BORINQUEN A-1, SUITE 2, YAUCO, PR 00698(787) 913-1555 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Mar 23, 2021 (2 updates tracked since 2021).

About Dr. Gerardo Manuel Medina Rivera Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERARDO MANUEL MEDINA RIVERA PHD (NPI 1104402007) is an individual clinical provider in Yauco, Puerto Rico, licensed in Puerto Rico (6831) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104402007
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GERARDO MANUEL MEDINA RIVERACredential: PHD
Location AddressURB. JARDINES DE BORINQUEN A-1, SUITE 2Yauco, PR 00698-0069
Mailing AddressPo Box 1268Yauco, PR 00698-1268 · (787) 913-1555
Phone(787) 913-1555
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1104402007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 6831
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerardo Manuel Medina Rivera Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gerardo Medina Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Servicios Psicologicos Y Consultoria M & m Csp
Clinical
URB JARDINES DE BORINQUEN A-1 SUITE 2
Yauco, PR 00698
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1023642386 (787) 526-6394

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00698 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerardo Medina Rivera's NPI number?

The NPI number for Gerardo Medina Rivera is 1104402007. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Gerardo Medina Rivera located?

Gerardo Medina Rivera practices at Urb. Jardines De Borinquen A-1 Suite 2, Yauco, PR 00698. The listed phone number is (787) 913-1555.

What is Gerardo Medina Rivera's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gerardo Medina Rivera enrolled in Medicare?

Yes. Gerardo Medina Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gerardo Medina Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerardo Medina Rivera reassigns Medicare benefits to Servicios Psicologicos Y Consultoria M & m Csp (Yauco, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gerardo Medina Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gerardo Medina Rivera was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.