Individual provider Active NPI

Yahaira Diaz, MD

  • Counseling Psychologist
  • San Lorenzo, PR
National Provider Identifier
1306169081
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3539 Issued in PR
Practice address
Urb Tamarindo 1
I-10
San Lorenzo, PR 00754-3727
Phone
(787) 340-5103
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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 3539 PR Primary
Social Worker 104100000X 15836 PR

Addresses

Primary practice location

Urb Tamarindo 1
I-10
San Lorenzo, PR 00754-3727

Mailing address

Urb Los Tamarindos 6
#I-10
San Lorenzo, PR 00754-3727
Phone (787) 340-5103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501000500 PR Practitioner - Psychologist Billing Independently 2466716378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3539PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emet, LLC CurrentSince Mar 1, 2020 Accepting new patients
Emet, LLC Counseling CurrentSince Mar 1, 2020 Accepting new patients

Locations

52 Calle Betances
#2
Caguas, PR 00725
Phone (787) 363-5103

Organizations & group practices 2

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1306169081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOS TAMARINDOS 6",
            "address_2": "#I-10",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007543727",
            "telephone_number": "787-340-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB TAMARINDO 1",
            "address_2": "I-10",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007543727",
            "telephone_number": "787-340-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "YAHAIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3539",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "15836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.