Innova Psychological Group, LLC
NPI 1861057580ActiveOrganization· Psychologist, Clinical· Dorado, PR
Psychologist, Clinical in Dorado, Puerto Rico, registered in NPPES in May 2019. The authorized official on file is Juan A. Gonzalez Rivera, PSY.D., Administrator.
Overview
| NPI | 1861057580 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2019 |
| Last updated in NPPES | May 20, 2021 |
| Certified by provider | May 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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