Lillybeth Diaz Valedon, PHYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6482 Issued in PR

Practice address

Bo Tierras Nuevas
Manati, PR 00674

Phone

(787) 638-3268

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1003454273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1486",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO TIERRAS NUEVAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-638-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ VALEDON",
        "first_name": "LILLYBETH",
        "name_prefix": "Dr.",
        "credential": "PHYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rocio del Carmen Diaz Martinez, MD
• Ralph Diaz-Colon, MD
• Manuel G. Diaz-Lugo, MD
• Raquel Diaz-Montalvo
• Aneska Rosario Diaz Sr., PSICOLOGIST CLINICO
• Ivelisse Diaz

• Clinical Psychologist in Manati, PR
• Providers in Manati, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.