Individual provider Active NPI

Erica I Rexach- Diaz, PSY. D.

  • Clinical Psychologist
  • Arroyo, PR
National Provider Identifier
1831439090
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
004607 Issued in PR
Practice address
Urb. la Riviera, Calle
Casa C-12
Arroyo, PR 00714-0000
Phone
(787) 344-4640
NPI assigned
Feb 26, 2013
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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 004607 PR Primary

Addresses

Primary practice location

Urb. la Riviera, Calle
Casa C-12
Arroyo, PR 00714-0000

Mailing address

Urb. la Riviera, Calle 4
C-12,
Arroyo, PR 00714
Phone (787) 344-4640

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
004607PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1831439090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA RIVIERA, CALLE 4",
            "address_2": "C-12,",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-344-4640",
            "fax_number": "787-764-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LA RIVIERA, CALLE",
            "address_2": "CASA C-12",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140000",
            "telephone_number": "787-344-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXACH- DIAZ",
        "first_name": "ERICA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "004607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.