Active NPI
Irma S Rivera-Diaz
- Clinical Psychologist
- Toa Baja, PR
National Provider Identifier
1548426752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2207
- Practice address
- SC13 Plaza 4
La Mansion
Toa Baja, PR 00949-4810 - Phone
- (787) 543-9553
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2207 | PR | Primary |
Addresses
Primary practice location
SC13 Plaza 4
La Mansion
Toa Baja, PR 00949-4810
Mailing address
SC13 Plaza 4
La Mansion
Toa Baja, PR 00949-4810
Phone (787) 543-9553
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 |
|---|---|---|---|
| 2207 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1548426752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SC13 PLAZA 4",
"address_2": "LA MANSION",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494810",
"telephone_number": "787-543-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SC13 PLAZA 4",
"address_2": "LA MANSION",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494810",
"telephone_number": "787-543-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-DIAZ",
"first_name": "IRMA",
"middle_name": "S",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.