Individual provider Active NPI

Hilda Diaz

  • Psychologist
  • Dorado, PR
National Provider Identifier
1669846366
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004108 Issued in PR
Practice address
H8 Calle Ceiba
Quintas de Dorado
Dorado, PR 00646-4714
Phone
(787) 645-4977
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004108 PR Primary
Cognitive & Behavioral Psychologist 103TB0200X 004108 PR
Counseling Psychologist 103TC1900X 004108 PR
Health Psychologist 103TH0004X 004108 PR
Health Service Psychologist 103TH0100X 004108 PR

Addresses

Primary practice location

H8 Calle Ceiba
Quintas de Dorado
Dorado, PR 00646-4714

Mailing address

H8 Calle Ceiba
Quintas de Dorado
Dorado, PR 00646-4714
Phone (787) 645-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190208001519 PR Practitioner - Clinical Psychologist 2264770718 Practice locations: Dorado, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004108PRMDHealth Psychologist
4108PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1669846366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H8 CALLE CEIBA",
            "address_2": "QUINTAS DE DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464714",
            "telephone_number": "787-645-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H8 CALLE CEIBA",
            "address_2": "QUINTAS DE DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464714",
            "telephone_number": "787-645-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "HILDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "004108",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PR",
            "license": "004108",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "004108",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "PR",
            "license": "004108",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PR",
            "license": "004108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.