MEDICARE: DIAZ MEDERO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1326995333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAZ MEDERO LLC

Provider Business Mailing Address
First Line	:	EST DE MONTE RIO 21 CALLE HELICONIA
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00736-9678
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB LA RAMBLA
Second Line	:	914 CALLE ZARAGOZA
City	:	PONCE
State	:	PR
Zip	:	00730-4013
Country	:	US
Telephone Number	:	939-588-1806
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	LUIS DIAZ MEDERO
Credential	:	PSYD
Telephone Number	:	787-975-3272

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

Similar Medicare Providers

1730657479 — LOURDES FRANCESCA CORDERO MED, PSYD
Practice Location Address:

914 CALLE ZARAGOZA
PONCE, PR
00730-4013

Practice Phone: 787-702-4677
Practice Fax:

1740136043 — SIS CLINICA INTEGRAL
Practice Location Address:

22 CALLE SOL , STE 1
PONCE, PR
00730-3820

Practice Phone: 939-368-4950
Practice Fax:

1407702269 — MR. KELMIE TORRES RIVERA RN
Practice Location Address:

CALLE CLARISAS , 1202
PONCE, PR
00730

Practice Phone: 787-344-4215
Practice Fax:

1134075914 — DR. RONALD FERNANDO POMACONDOR
Practice Location Address:

60 CALLE MIRAMAR N
PONCE, PR
00730-2801

Practice Phone: 939-403-1077
Practice Fax:

1013910512 — LABORATORIO CLINICO SANDON INC
Practice Location Address:

12 CALLE BERTOLY
PONCE, PR
00730-3060

Practice Phone: 787-844-4655
Practice Fax: 787-843-7868

1235132713 — LUIS A SERRANO M. D.
Practice Location Address:

44 MAYOR ST. , ZAMORA BUILDING 1ST. FLOOR
PONCE, PR
00730-3761

Practice Phone: 787-848-5353
Practice Fax: 787-259-4462

Directions to “DIAZ MEDERO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.