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DR. LOURDES CARBALLO-RIVERA M.D.
NPI 1124249677
Psychiatry & Neurology - Psychiatry in San Juan, PR

Active since May 01, 2007Opted out of Medicare · through Jan 7, 2028
224 CALLE VIENA, URB. COLLEGE PARK 4, SAN JUAN, PR 00921(787) 758-0898 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lourdes Carballo-rivera M.d. NPPES

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

DR. LOURDES CARBALLO-RIVERA M.D. (NPI 1124249677) is an individual psychiatry provider in San Juan, Puerto Rico, licensed in Puerto Rico (3886) and active in the NPI registry since May 2007. She has opted out of Medicare through January 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124249677
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LOURDES CARBALLO-RIVERACredential: M.D.
Location Address224 CALLE VIENA, URB. COLLEGE PARK 4San Juan, PR 00921-4804
Mailing Address224 Calle Viena, Urb. College Park 4San Juan, PR 00921-4804 · (787) 758-0898
Phone(787) 758-0898
Sole ProprietorYes
Enumeration DateMay 1, 2007
Last NPPES UpdateJanuary 25, 2016
✔ NPI 1124249677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PR · 3886
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 3886 (PR)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lourdes Carballo-rivera M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2016 through January 7, 2028.

Opt-Out Effective DateJanuary 7, 2016
Opt-Out In Effect ThroughJanuary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00921 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
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSE MANUEL PRIETO M.D.
Obstetrics & Gynecology
224 CALLE VIENA, URB. COLLEGE PARK 4
SAN JUAN, PR 00921
San Juan Municipio (787) 758-0898

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 Lourdes Carballo-rivera's NPI number?

The NPI number for Lourdes Carballo-rivera is 1124249677. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Lourdes Carballo-rivera located?

Lourdes Carballo-rivera practices at 224 Calle Viena Urb. College Park 4, San Juan, PR 00921. The listed phone number is (787) 758-0898.

What is Lourdes Carballo-rivera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lourdes Carballo-rivera enrolled in Medicare?

No. Lourdes Carballo-rivera has opted out of Medicare through January 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lourdes Carballo-rivera was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.