Lissette Negron Marin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5840 Issued in PR

Practice address

Edificio Porrata Pila Suite 208
Blvd. Luis a Ferre 2431
Ponce, PR 00717

Phone

(787) 404-1645

Fax

(787) 259-5555

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1043867492
  Medicare reassignment NPD Authorized official
• Advanced Behavioral Center, Inc.

  • Adult Mental Health Clinic/Center
  • Ponce, PR
  • NPI 1588965016
  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1235679531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF. PORRATA PILA SUITE 208",
            "address_2": "BLVD. LUIS A FERRE 2431",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-404-1645",
            "fax_number": "787-259-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PORRATA PILA SUITE 208",
            "address_2": "BLVD. LUIS A FERRE 2431",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-404-1645",
            "fax_number": "787-259-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON MARIN",
        "first_name": "LISSETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jomayra Negron Banks, PSYD
• Ruth D. Negron Colon, O.D.
• Fabiola Negron Cruz
• Perla Negron Gonzalez
• Roberto Krlo Negron Laguna
• Melvin Negron McFarlane Sr.
• Celymar Negron Toro, PHARMD
• Karen M Negron Torres
• Camila A Negron Velez
• Yaritza Negron Velez

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.