Individual provider Active NPI

Mercie Robledo Diaz, CPLP

  • Addiction (Substance Use Disorder) Counselor
  • San Juan, PR
National Provider Identifier
1902666183
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1821 Issued in PR
Practice address
Sector Los Penas 1183 Calle Dorado
San Juan, PR 00924-5052
Phone
(787) 404-7834
NPI assigned
Mar 22, 2024
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1821 PR Primary
Pastoral Counselor 101YP1600X
Peer Specialist 175T00000X

Addresses

Primary practice location

Sector Los Penas 1183 Calle Dorado
San Juan, PR 00924-5052

Mailing address

Sector Los Penas 1183 Calle Dorado
San Juan, PR 00924-5052
Phone (787) 404-7834

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

State licenses

LicenseStateTypeSpecialty
1821PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1902666183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SECTOR LOS PENAS 1183 CALLE DORADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009245052",
            "telephone_number": "787-404-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SECTOR LOS PENAS 1183 CALLE DORADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009245052",
            "telephone_number": "787-404-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLEDO DIAZ",
        "first_name": "MERCIE",
        "credential": "CPLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "1821",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.