Active NPI
Gabriela G Diaz
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1285474668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4313
- Practice address
- Monte Atenas Office Park Suit 207
PR 199 Las Cumbres
San Juan, PR 00926 - Phone
- (787) 230-0001
- NPI assigned
- May 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4313 | PR | Primary |
Addresses
Primary practice location
Monte Atenas Office Park Suit 207
PR 199 Las Cumbres
San Juan, PR 00926
Mailing address
840 Carr 877 Apt 906
San Juan, PR 00926-8240
Phone (939) 243-3932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4313 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1285474668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 CARR 877 APT 906",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009268240",
"telephone_number": "939-243-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MONTE ATENAS OFFICE PARK SUIT 207",
"address_2": "PR 199 LAS CUMBRES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-230-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "GABRIELA",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.