Active NPI
Linda J. Diaz
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1174874457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1090
- Practice address
- 52 Calle Canovanas
Bonneville Heights
Caguas, PR 00727-4912 - Phone
- (787) 960-8198
- NPI assigned
- Sep 26, 2012
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1090 | PR | Primary |
Addresses
Primary practice location
52 Calle Canovanas
Bonneville Heights
Caguas, PR 00727-4912
Mailing address
Bonneville Heights Canovanas St. #52
Caguas, PR 00725
Phone (787) 960-8198
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 |
|---|---|---|---|
| 1090 | PR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1174874457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BONNEVILLE HEIGHTS CANOVANAS ST. #52",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-960-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CALLE CANOVANAS",
"address_2": "BONNEVILLE HEIGHTS",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007274912",
"telephone_number": "787-960-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "LINDA",
"middle_name": "J.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.