Active NPI
Daisyvette Diaz, TS
- Clinical Social Worker
- Bayamon, PR
National Provider Identifier
1831972603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16300
- Practice address
- Urb. Santa Teresita Calle 56 BB14 Bayamon, PR
N/a
Bayamon, PR 00960-8731 - Phone
- (787) 975-3707
- NPI assigned
- Aug 16, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16300 | PR | Primary |
Addresses
Primary practice location
Urb. Santa Teresita Calle 56 BB14 Bayamon, PR
N/a
Bayamon, PR 00960-8731
Mailing address
Urb. Santa Teresita Calle 56 BB 14
Bayam0N, PR 00960-8731
Phone (787) 975-3707
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)
- Not enrolled
- Credentials
- Trade School Graduate
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16300 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1831972603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. SANTA TERESITA CALLE 56 BB 14",
"city": "BAYAM0N",
"state": "PR",
"postal_code": "009608731",
"telephone_number": "787-975-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. SANTA TERESITA CALLE 56 BB14 BAYAMON, PR",
"address_2": "N/A",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009608731",
"telephone_number": "787-975-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "DAISYVETTE",
"name_prefix": "Mrs.",
"credential": "TS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "16300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.