Candie Marie Laracuente Negron, PHD
Individual provider Active NPI Clinical Psychologist · Ponce, PR
NPI 1386367233 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1386367233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6500 (PR)
- Practice address
- 55E Calle Salmon
Ponce, PR 00716-8112 - Phone
- (939) 413-8792
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Med Centro Inc
Practice addresses (Care Compare)
1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240415004174 | PR | Practitioner - Clinical Psychologist | 2769821339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6500 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Centro, Inc. | Current |
Accepting new patients | |
| Med Centro, Inc. | Current |
Accepting new patients | |
| Med Centro, Inc. | Current | Accepting new patients |
Locations
1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6500 | PR | Yes |
Addresses
Primary practice location
55E Calle Salmon
Ponce, PR 00716-8112
Mailing address
2749 Calle Palma de Lluvia
Ponce, PR 00728-1992
Phone (873) 680-2417
Other names
- Dr. Candie Marie Laracuente Negron
Other providers in Ponce, PR
- Hildaris Lamboy-Dejesus
- Magdaly Lamboy
- Patricia Landers
- Moraima Landrau Moreno
- Alondra Jarelis Lao
- Elizabeth Laracuente
- Soniamarie Lugo Laracuente
- Yaira Laracuente
- Printzel V Larregoity-Padro
- William Larsen-Alemany
All providers in Ponce, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.