Mary Nelly Amoros Diaz

Individual provider Active NPI Behavior Technician · San Juan, PR

NPI 1487511465 · NPPES record last updated Jan 9, 2026

Key facts

NPI
1487511465
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-465237 (PR)
Practice address
1473 Ave Wilson Ste 304
San Juan, PR 00907-2364
Phone
(787) 489-0088
NPI assigned
Jan 9, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-25-465237PRMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Flamboyan Behavioral Services, LLC Behavior Technician Past
since May 4, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-465237 PR Yes

Addresses

Primary practice location

1473 Ave Wilson Ste 304
San Juan, PR 00907-2364

Mailing address

1473 Ave Wilson Ste 304
San Juan, PR 00907-2364
Phone (787) 489-0088

Other providers in San Juan, PR

All providers in San Juan, PR · Behavior Technician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.