Active NPI
Idalmys Diaz Martinez
- Counseling Psychologist
- Caguas, PR
National Provider Identifier
1619391489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 5438
- Practice address
- R1-17 Calle H
Turabo Gardens III
Caguas, PR 00727-5946 - Phone
- (787) 603-7012
- Fax
- (787) 603-7012
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 5438 | PR | Primary |
Addresses
Primary practice location
R1-17 Calle H
Turabo Gardens III
Caguas, PR 00727-5946
Mailing address
R1-17 Calle H
Turabo Gardens III
Caguas, PR 00725
Phone (787) 603-7012
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1619391489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "R1-17 CALLE H",
"address_2": "TURABO GARDENS III",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-603-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "R1-17 CALLE H",
"address_2": "TURABO GARDENS III",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007275946",
"telephone_number": "787-603-7012",
"fax_number": "787-603-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ MARTINEZ",
"first_name": "IDALMYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "5438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.