Individual provider Active NPI

Patricia Garcia-Diaz, PH.D.

  • Psychologist
  • San Juan, PR
National Provider Identifier
1962983890
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6058 Issued in PR
Practice address
Urb. San Martin
Calle Emilio R. Delgado #1219
San Juan, PR 00926
Phone
(787) 553-3441
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6058 PR Primary

Addresses

Primary practice location

Urb. San Martin
Calle Emilio R. Delgado #1219
San Juan, PR 00926

Mailing address

1001 Calle Azabache
Luquillo, PR 00773-2717
Phone (787) 553-3441

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1962983890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CALLE AZABACHE",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007732717",
            "telephone_number": "787-553-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SAN MARTIN",
            "address_2": "CALLE EMILIO R. DELGADO #1219",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-553-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-DIAZ",
        "first_name": "PATRICIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6058",
            "primary": true
        }
    ],
    "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 Aug 28, 2018; 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.