Individual provider Active NPI

Anairy Diaz Rodriguez, PSYD

  • Clinical Psychologist
  • Las Piedras, PR
National Provider Identifier
1255846564
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5918 Issued in PR
Practice address
Carr 198 KM 21.7
Bo. Arenas
Las Piedras, PR 00771-9664
Phone
(787) 923-3300
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5918 PR
Clinical Psychologist 103TC0700X 5918 PR Primary

Addresses

Primary practice location

Carr 198 KM 21.7
Bo. Arenas
Las Piedras, PR 00771-9664

Mailing address

Terrs del Monte 59 Calle Pino
Las Piedras, PR 00771-2515
Phone (787) 923-3300

Other identifiers 1

IdentifierTypeStateIssuer
39870900MedicaidPR

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
I20260304001195 PR Practitioner - Clinical Psychologist 0840772307 Practice locations: Las Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 198 KM
7 Bo Arenas
Las Piedras, PR 00771-9664
Phone (787) 923-3300

HC 3 Box
Comerio, PR 00782

Terrs del Monte 59 Calle Pino
Las Piedras, PR 00771

Terrs del Monte 59 Calle Pino
Las Piedras, PR 00771-2515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vive Psicologia Integral LLC Clinical PastSince Jul 9, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1255846564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TERRS DEL MONTE 59 CALLE PINO",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007712515",
            "telephone_number": "787-923-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 198 KM 21.7",
            "address_2": "BO. ARENAS",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719664",
            "telephone_number": "787-923-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ RODRIGUEZ",
        "first_name": "ANAIRY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5918",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39870900",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

Verify at the official NPI Registry.