Benjamin Reyes Diaz, M.PSY

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

5147 Issued in PR

Practice address

140 Ave Las Cumbres
Guaynabo, PR 00969-5523

Phone

(939) 644-3452

NPI assigned

Jan 23, 2014

Sex

Male

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

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.

• RR Psych PSC

  • Clinical Psychologist
  • Caguas, PR
  • NPI 1346781283

  Counseling

  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1285057497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SEC MONTE VERDE",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007392134",
            "telephone_number": "939-644-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695523",
            "telephone_number": "939-644-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CENTRO MEDICO PROFESIONAL",
            "address_2": "CALLE MUNOZ RIVERA 2 STE 309",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007262604",
            "country_code": "US",
            "telephone_number": "787-612-7997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES DIAZ",
        "first_name": "BENJAMIN",
        "credential": "M.PSY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coral Cristina Reyes Rosario
• William Reyes Ruiz, 0758P

• Counseling Psychologist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.