Individual provider Active NPI

Viriana Diez Gutierrez, M.D.

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1003125998
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28203-R Issued in PR
Practice address
10 Calle Casia
San Juan, PR 00921-3200
Phone
(787) 641-3659
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28203-R PR Primary

Addresses

Primary practice location

10 Calle Casia
San Juan, PR 00921-3200

Mailing address

L7 Calle 11
Gurabo, PR 00778-5105
Phone (787) 448-0582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28203-RPRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Atenas LLC CurrentSince Sep 3, 2016 Accepting new patients
Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo Past Accepting new patients
Manti Parcial Past Accepting new patients
Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo Past Accepting new patients

Locations

93 Paseo Atenas
Manati, PR 00674
Phone (787) 226-8142

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJECDD/Endpoint/JJECDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1003125998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L7 CALLE 11",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785105",
            "telephone_number": "787-448-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ GUTIERREZ",
        "first_name": "VIRIANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "28203-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.