Individual provider Active NPI

Roxane Ribott Diaz, DSW

  • Clinical Social Worker
  • Guaynabo, PR
National Provider Identifier
1225910854
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4673 Issued in PR
Practice address
3 Calle Acuarela
Suite a-06
Guaynabo, PR 00969-3577
Phone
(787) 597-9507
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4673 PR Primary

Addresses

Primary practice location

3 Calle Acuarela
Suite a-06
Guaynabo, PR 00969-3577

Mailing address

L-48 Calle 17
Rio Grande Estates
Rio Grande, PR 00745-5015
Phone (787) 597-9507

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260304000112 PR Practitioner - Clinical Social Worker 5698257236 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

530 Ave de la Constitucion
Suite 226
San Juan, PR 00901-2304
Phone (787) 597-9507

HC 3 Box
Comerio, PR 00782

L48 Calle
Suite 17
Rio Grande, PR 00745

Urb Rio Grande Estates
L48 Calle 17
Rio Grande, PR 00745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4669PRMDClinical Social Worker
4673PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1225910854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L-48 CALLE 17",
            "address_2": "RIO GRANDE ESTATES",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007455015",
            "telephone_number": "787-597-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE ACUARELA",
            "address_2": "SUITE A-06",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693577",
            "telephone_number": "787-597-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBOTT DIAZ",
        "first_name": "ROXANE",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.