Active NPI
Rebeca Diazgonzalez, LCDA.
- Psychologist
- Humacao, PR
National Provider Identifier
1942321005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2247
- Practice address
- Calle 24 S 1
Urb. Villa Universitaria
Humacao, PR 00791 - Phone
- (787) 656-5818
- Fax
- (787) 374-8181
- NPI assigned
- Apr 3, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2247 | PR | Primary |
Addresses
Primary practice location
Calle 24 S 1
Urb. Villa Universitaria
Humacao, PR 00791
Mailing address
PO Box 261
Humacao, PR 00792-0261
Phone (787) 656-5818
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2247 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942321005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007920261",
"telephone_number": "787-656-5818",
"fax_number": "787-374-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 24 S 1",
"address_2": "URB. VILLA UNIVERSITARIA",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-656-5818",
"fax_number": "787-374-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZGONZALEZ",
"first_name": "REBECA",
"name_prefix": "Mrs.",
"credential": "LCDA.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "2247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.