Psicologia Avanzada Diaz

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3800 Issued in PR

Legal business name

PSICOLOGIA AVANZADA DIAZ

Practice address

613 Calle Hoare Apt 4
Cond Plaza Marti
San Juan, PR 00907-3681

Phone

(787) 929-7837

NPI assigned

Nov 28, 2016

Last updated

Nov 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yaritza Pica Diaz, LIC

Title

Psicologa

Phone

(787) 929-7837

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1841733623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040493",
            "telephone_number": "787-929-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CALLE HOARE APT 4",
            "address_2": "COND PLAZA MARTI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073681",
            "telephone_number": "787-929-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSICOLOGIA AVANZADA DIAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "PICA DIAZ",
        "authorized_official_first_name": "YARITZA",
        "authorized_official_title_or_position": "PSICOLOGA",
        "authorized_official_telephone_number": "17879297837",
        "authorized_official_credential": "LIC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PR",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PRRX Specialty Solutions Inc. (Medplus Specialty)
• Prspi, PSC (Puerto Rico Sports and Pain Medicine Institute)
• Prspine LLC
• Psico Group de PR Inc (PSYCOmax)
• Psico-Colectivo, LLC
• Psicologos Clinicos del Santurce Medical Mall, CSP
• Psiconsulta
• Psych Wellness Center PSC
• Psych Wellness Corporation
• Psychiatry Parnters

• Community/Behavioral Health Agency in San Juan, PR
• Providers in San Juan, PR by specialty
• Community/Behavioral Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.