Active NPI
Gloria Luz Diaz-Lopez, M.D.
- Specialist
- Ponce, PR
National Provider Identifier
1720276173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6492
- Practice address
- Paseo Campina
Villas de Monte Verde #3
Ponce, PR 00732 - Phone
- (783) 259-0889
- Fax
- (787) 259-0889
- NPI assigned
- Oct 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6492 | PR | Primary |
Addresses
Primary practice location
Paseo Campina
Villas de Monte Verde #3
Ponce, PR 00732
Mailing address
PO Box 330190
Ponce, PR 00733-0190
Phone (783) 259-0889
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6492 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1720276173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330190",
"city": "PONCE",
"state": "PR",
"postal_code": "007330190",
"telephone_number": "783-259-0889",
"fax_number": "787-259-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PASEO CAMPINA",
"address_2": "VILLAS DE MONTE VERDE #3",
"city": "PONCE",
"state": "PR",
"postal_code": "00732",
"telephone_number": "783-259-0889",
"fax_number": "787-259-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-LOPEZ",
"first_name": "GLORIA",
"middle_name": "LUZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "6492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.