Active NPI
Eduardo Diaz Rodriguez, M.A.
- Counseling Psychologist
- Fajardo, PR
National Provider Identifier
1639701485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6048
- Practice address
- Calle del Carmen #9 (2DO. Piso) Fajardo Pueblo
Fajardo, PR 00738-0073 - Phone
- (787) 556-9937
- NPI assigned
- Feb 10, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6048 | PR | Primary |
Addresses
Primary practice location
Calle del Carmen #9 (2DO. Piso) Fajardo Pueblo
Fajardo, PR 00738-0073
Mailing address
A29 Calle Marginal
Fajardo, PR 00738-3759
Phone (787) 556-9937
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6048 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1639701485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A29 CALLE MARGINAL",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007383759",
"telephone_number": "787-556-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE DEL CARMEN #9 (2DO. PISO) FAJARDO PUEBLO",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007380073",
"telephone_number": "787-556-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ RODRIGUEZ",
"first_name": "EDUARDO",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-10",
"last_updated": "2024-04-30",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.