Servicios Psiquiatricos Dr. Ricardo Diez Delgado, CSP

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

9226 Issued in PR

Legal business name

SERVICIOS PSIQUIATRICOS DR. RICARDO DIEZ DELGADO, CSP

Practice address

124 Winston Churchill Esq. Parana,
Piso 2, Ofic. 5
San Juan, PR 00936-3603

Phone

(787) 763-1816

Fax

(787) 282-8424

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Diez-Delgado, MD

Title

President

Phone

(787) 763-1816

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154532505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363603",
            "telephone_number": "787-763-1816",
            "fax_number": "787-282-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WINSTON CHURCHILL ESQ. PARANA,",
            "address_2": "PISO 2, OFIC. 5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363603",
            "telephone_number": "787-763-1816",
            "fax_number": "787-282-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PSIQUIATRICOS DR. RICARDO DIEZ DELGADO, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIEZ-DELGADO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-763-1816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "9226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "067698",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "85182",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUXILIO PLATINO",
            "identifier": "096193",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "2826",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HUMANA",
            "identifier": "2824",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL",
            "identifier": "6327",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Adult Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.