Individual provider Active NPI

Ana I Negron Rosario, MD

  • General Practice Physician
  • Aguas Buenas, PR
National Provider Identifier
1316991151
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12063 Issued in PR
Practice address
Calle Padre Sercus #9
Aguas Buenas, PR 00703
Phone
(787) 732-1306
Fax
(787) 732-1306
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12063 PR Primary

Addresses

Primary practice location

Calle Padre Sercus #9
Aguas Buenas, PR 00703

Mailing address

PO Box 1326
Aguas Buenas, PR 00703
Phone (787) 732-1306

Other practice location 1

9 Calle Padre Sercus
Aguas Buenas, PR 00703-3303
Phone (787) 732-1306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000127 PR Practitioner - General Practice 0749441673 Practice locations: Aguas Buenas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12063PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1316991151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "00703",
            "telephone_number": "787-732-1306",
            "fax_number": "787-732-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PADRE SERCUS #9",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "00703",
            "telephone_number": "787-732-1306",
            "fax_number": "787-732-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Calle Padre Sercus",
            "address_purpose": "LOCATION",
            "city": "Aguas Buenas",
            "state": "PR",
            "postal_code": "007033303",
            "country_code": "US",
            "telephone_number": "787-732-1306",
            "fax_number": "787-732-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRON ROSARIO",
        "first_name": "ANA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

Verify at the official NPI Registry.