Organization Active NPI

Dra Ramona de Lourdes Diaz Jimenez

  • Health Service Psychologist
  • Arecibo, PR
National Provider Identifier
1225570831
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
5660 Issued in PR
Legal business name
DRA RAMONA DE LOURDES DIAZ JIMENEZ
Practice address
513 Santana
Arecibo, PR 00612-6708
Phone
(787) 356-5376
Fax
(787) 881-4507
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Dr. Ramona De Lourdes Diaz Jimenez, M.D
Title
Owner
Phone
(787) 356-5376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X 5660 PR Primary

Addresses

Primary practice location

513 Santana
Arecibo, PR 00612-6708

Mailing address

513 Santana
Arecibo, PR 00612-6708
Phone (787) 356-5376

Other identifiers 1

IdentifierTypeStateIssuer
5660OtherTEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1225570831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SANTANA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126708",
            "telephone_number": "787-356-5376",
            "fax_number": "787-881-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 SANTANA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126708",
            "telephone_number": "787-356-5376",
            "fax_number": "787-881-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA RAMONA DE LOURDES DIAZ JIMENEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "DIAZ JIMENEZ",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "DE LOURDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-356-5376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "PR",
            "license": "5660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEM",
            "identifier": "5660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.