Individual provider Active NPI

Bryan Negron Quinones

  • Psychologist
  • San Juan, PR
National Provider Identifier
1376188672
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6846 Issued in PR
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

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
547547MedicaidPR
547547MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
6846PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psico-Colectivo, LLC Psychologist CurrentSince Apr 17, 2022 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.

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.

Verify at the official NPI Registry.