Active NPI
Gina Diaz, MPSY
- Counseling Psychologist
- Gurabo, PR
National Provider Identifier
1063224384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 7343
- Practice address
- 155 Calle Andres Arus Rivera W
Gurabo, PR 00778-2321 - Phone
- (939) 891-0533
- NPI assigned
- Jan 23, 2025
- Last updated
- Jan 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 7343 | PR | Primary |
Addresses
Primary practice location
155 Calle Andres Arus Rivera W
Gurabo, PR 00778-2321
Mailing address
Villa Guadalupe
FF14 Calle 18
Caguas, PR 00725-4055
Phone (787) 347-7698
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7343 | PR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Release Psychology Group | Counseling | Current | Accepting new patients |
Locations
155 Calle Andres Arus Rivera W
Gurabo, PR 00778
Phone (787) 737-2031
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1063224384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLA GUADALUPE",
"address_2": "FF14 CALLE 18",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007254055",
"telephone_number": "787-347-7698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CALLE ANDRES ARUS RIVERA W",
"city": "GURABO",
"state": "PR",
"postal_code": "007782321",
"telephone_number": "939-891-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "GINA",
"credential": "MPSY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "7343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.