Ana Gabriela Dieppa Lopez de Victoria, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6350 Issued in PR

Practice address

388 Zona Ind Reparada 2
Ponce, PR 00716-2347

Phone

(787) 840-2575

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tiber Health, Public Benefit Corporation

  • Dentist
  • Ponce, PR
  • NPI 1013734821
  NPD
• Tiber Health, Public Benefit Corporation

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1184139602

  Clinical

  NPD (past)

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1255988333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDAS DEL MONTE",
            "address_2": "6016 PASEO CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-478-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 ZONA IND REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162347",
            "telephone_number": "787-840-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEPPA LOPEZ DE VICTORIA",
        "first_name": "ANA",
        "middle_name": "GABRIELA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Diaz
• Mariela Diaz
• Mercedes Mayra Diaz, D.O.
• Nicole Diaz
• Priscilla Diaz
• Natalia M Dieppa Lopez de Victoria, PSY.D
• Cristian David Dieppa
• Lara Isabel Diez Asad
• Jealeanet Diez
• Gretchelle L Dilan, PH.D

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.