Adelina Diaz Laboy
Individual provider Active NPI Clinical Psychologist · Arroyo, PR
NPI 1427628486 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1427628486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6993 (PR)
- Practice address
- Sector Monte Verde, Ancones
Arroyo, PR 00714 - Phone
- (787) 446-8619
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210908000257 | PR | Practitioner - Clinical Psychologist | 4082010699 | Practice locations: Caguas, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6993 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Mental Health Management | Past |
Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6993 | PR | Yes |
Addresses
Primary practice location
Sector Monte Verde, Ancones
Arroyo, PR 00714
Mailing address
HC 1 Box 4161
Arroyo, PR 00714-9741
Phone (787) 446-8619
Other providers in Arroyo, PR
- Maristela Cruz Feliciano
- Irna Maysonet Cruz
- Loriann Davila-Santiago
- Russell Davis
- Fermin L De Jesus
- Lissette Diaz Olmeda
- Belmarie Diaz Padro
- Odalys Diaz Rodriguez
- Raul E Diaz
- E M a Med Serv CSP
All providers in Arroyo, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.