Candie Marie Laracuente Negron, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6500 Issued in PR

Practice address

55E Calle Salmon
Ponce, PR 00716-8112

Phone

(939) 413-8792

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

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

Other names 1

• Dr. Candie Marie Laracuente Negron Former name

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

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Centro IncGroup PAC ID 5890692131, 62 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147
  Medicare reassignment Care Compare group NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1669097374
  NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coamo, PR
  • NPI 1710515093
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1386367233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 CALLE PALMA DE LLUVIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281992",
            "telephone_number": "873-680-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55E CALLE SALMON",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007168112",
            "telephone_number": "939-413-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARACUENTE NEGRON",
        "first_name": "CANDIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDIE",
            "last_name": "LARACUENTE NEGRON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hildaris Lamboy-Dejesus, MS
• Magdaly Lamboy, LND
• Patricia Landers, PSYD.
• Moraima Landrau Moreno, MD
• Alondra Jarelis Lao
• Elizabeth Laracuente
• Soniamarie Lugo Laracuente, LCP
• Yaira Laracuente
• Printzel V Larregoity-Padro, PSY.D.
• William Larsen-Alemany

• 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 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.