Sherley Marie Diaz Fred, MS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

6480 Issued in PR

Practice address

16 Calle Jose C Barbosa
Esq Luna
Las Piedras, PR 00771

Phone

(787) 564-1168

NPI assigned

May 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1679212732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9677",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889677",
            "telephone_number": "787-564-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE JOSE C BARBOSA",
            "address_2": "ESQ LUNA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-564-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ FRED",
        "first_name": "SHERLEY",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "6480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdiazfred@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "16 Calle Jose C Barbosa",
            "address_2": "Esq Luna",
            "city": "Las Piedras",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Felicita Dejesus, PSYD
• Maritza Del Moral
• Pablo Del Valle, M.D.
• Luz Eneida Delgado, M.D.
• Marisabel Diaz Alonso
• Jorge Humberto Diaz Garced
• Anairy Diaz Rodriguez, PSYD
• Amarilys Diaz, MSW
• Hildelsa Diaz, RPH
• Moises Joel Diaz

• School Psychologist in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• School Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.