Individual provider Active NPI

Laura Iris Diaz Pagan, PSY.D

  • Clinical Psychologist
  • Aguadilla, PR
National Provider Identifier
1780855825
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2968 Issued in PR
Practice address
284A Calle 7
Ramey
Aguadilla, PR 00603-1306
Phone
(787) 458-7033
NPI assigned
Mar 17, 2008
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2968 PR Primary

Addresses

Primary practice location

284A Calle 7
Ramey
Aguadilla, PR 00603-1306

Mailing address

PO Box 250410
Aguadilla, PR 00604-0410
Phone (787) 458-7033

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

State licenses

LicenseStateTypeSpecialty
2968PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1780855825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250410",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040410",
            "telephone_number": "787-458-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284A CALLE 7",
            "address_2": "RAMEY",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006031306",
            "telephone_number": "787-458-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PAGAN",
        "first_name": "LAURA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.