Diane Matos, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

007382 Issued in PR

Practice address

J-7 Calle Oscar Collazo
El Rosario
Vega Baja, PR 00693-5718

Phone

(787) 501-3925

NPI assigned

Jun 5, 2022

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1508595778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J-7 CALLE OSCAR COLLAZO",
            "address_2": "EL ROSARIO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935718",
            "telephone_number": "787-501-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J-7 CALLE OSCAR COLLAZO",
            "address_2": "EL ROSARIO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935718",
            "telephone_number": "787-501-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "DIANE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "007382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Jose Martinez-Orraca, M.D.
• Abigail Martinez, PT
• Bryan Gaetan Martinez
• Julyssa Naomi Martinez, MS
• Orlando Martinez, CPHT
• Medco LLC
• Medex Medical Express Transportation Services
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• Daniela Cristina Medina-Camacho, MS
• Evaristo Jaime Medina-Cucurella, M.D.

• Clinical Psychologist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.