Active NPI
Lissie Negron
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1407542335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6527
- Practice address
- Condominio Mont Blanc
1010 Calle Orchid 404 Apartamento
San Juan, PR 00926 - Phone
- (787) 460-4914
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6527 | PR | Primary |
Addresses
Primary practice location
Condominio Mont Blanc
1010 Calle Orchid 404 Apartamento
San Juan, PR 00926
Mailing address
HC 12 Box 7346
Humacao, PR 00791-9220
Phone (787) 460-4914
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 |
|---|---|---|---|
| 6527 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1407542335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 12 BOX 7346",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007919220",
"telephone_number": "787-460-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONDOMINIO MONT BLANC",
"address_2": "1010 CALLE ORCHID 404 APARTAMENTO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-460-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRON",
"first_name": "LISSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.