Edith Rosado Diaz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1865 Issued in PR

Practice address

Bo. Bajura KM 31.9
Carr # 2 Vega Alta Community Health
Vega Alta, PR 00692

Phone

(178) 748-5980

Fax

(787) 883-6728

NPI assigned

May 23, 2007

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Centro Yahveh-Rafa Evaluaciones Y Terapias

  • Health Service Clinic/Center
  • Dorado, PR
  • NPI 1609162643
  Medicare reassignment NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1013127612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MONTE ELENA",
            "address_2": "322 BROMELIA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465616",
            "telephone_number": "787-485-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. BAJURA KM 31.9",
            "address_2": "CARR # 2 VEGA ALTA COMMUNITY HEALTH",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "178-748-5980",
            "fax_number": "787-883-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO DIAZ",
        "first_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta M Rodriguez, DMD
• Michelle Roman Perez, LPC
• Lizandra Romero Maysonet, PHARMD
• Yarimar Rosa-Rodriguez, PH.D.
• Edwin A Rosa, D.M.D.
• Wilfredo Rosado-Maldonado, O.D.
• Juan Antonio Rosario Hernandez, LCDO
• Dania Rosario Sostre, PSY.D
• Andrea Michelle Rosario
• Luz M Rosendo

• Clinical Psychologist in Vega Alta, PR
• Providers in Vega Alta, 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 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.