Active NPI
Bryan Negron Quinones
- Psychologist
- San Juan, PR
National Provider Identifier
1376188672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6846
- Practice address
- Calle Monsenor Torres
Piso 7 Suite 703
San Juan, PR 00925 - Phone
- (939) 237-4617
- NPI assigned
- Nov 10, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 6846 | PR | Primary |
Addresses
Primary practice location
Calle Monsenor Torres
Piso 7 Suite 703
San Juan, PR 00925
Mailing address
Urbanizacion Santa Juanita
DC15 Calle Atena
Bayamon, PR 00956
Phone (939) 237-4617
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 547547 | Medicaid | PR | |
| 547547 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | .com |
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 |
|---|---|---|---|
| 6846 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psico-Colectivo, LLC | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- San Juan, PR
- NPI 1821730557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1376188672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION SANTA JUANITA",
"address_2": "DC15 CALLE ATENA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "939-237-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MONSENOR TORRES",
"address_2": "PISO 7 SUITE 703",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00925",
"telephone_number": "939-237-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRON QUINONES",
"first_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-10",
"last_updated": "2022-01-13",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "6846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "547547",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "547547",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": ".com",
"affiliation": "N",
"address_1": "Calle Monsenor Torres",
"address_2": "Piso 7 Suite 703",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "00925",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.