Active NPI
Hilda Diaz
- Psychologist
- Dorado, PR
National Provider Identifier
1669846366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 004108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 004108 | PR | MD | Health Psychologist |
| 4108 | PR | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.