Ivette M Diaz-Machado, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3215 Issued in PR

Practice address

Vick Center B 102
867 Ave Munoz Rivera
San Juan, PR 00925-2140

Phone

(939) 244-7950

NPI assigned

Apr 6, 2009

Last updated

Aug 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multidisciplinary Psychological Services, P.S.C.

  • Clinical Psychologist
  • Bayamon, PR
  • NPI 1285942169
  Medicare reassignment NPD

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1265674212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA CLARA",
            "address_2": "S 21 PALMA REAL ST",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696819",
            "telephone_number": "939-244-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VICK CENTER B 102",
            "address_2": "867 AVE MUNOZ RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252140",
            "telephone_number": "939-244-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-MACHADO",
        "first_name": "IVETTE",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Diaz-Garcia, M.D.
• Dilia Diaz-Garcia, MD FACE
• Darlin Celeste Diaz-Gomez, MD
• Shirley H. Diaz-Hernandez, PHARMD
• Carolina Sofia Diaz-Loza
• Jeannette Xiomara Diaz-Ortiz
• Luis Fernando Diaz-Pagan
• Porfirio Ernesto Diaz-Rodriguez, MD
• Yahaira Noemi Diaz-Rodriguez, M.D.
• Edgar Diaz-Ruiz, DDS

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.