Dr Carmen Diaz PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4145 Issued in FL

Legal business name

DR CARMEN DIAZ PA

Practice address

2100 Ponce de Leon Blvd Ste 1015
Coral Gables, FL 33134-5240

Phone

(786) 514-8812

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carmen B Diaz, PHD

Title

President, Director

Phone

(786) 514-8812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1801801600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 SW 6TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341057",
            "telephone_number": "786-514-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PONCE DE LEON BLVD STE 1015",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345240",
            "telephone_number": "786-514-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARMEN DIAZ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT, DIRECTOR",
        "authorized_official_telephone_number": "786-514-8812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.