Individual provider Active NPI

Carmen Negron

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1457347122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9702 Issued in PR
Practice address
Carr 307 KM 2.5
Cabo Rojo, PR 00622-0000
Phone
(787) 818-0485
Fax
(787) 818-0485
NPI assigned
Sep 27, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9702 PR Primary

Addresses

Primary practice location

Carr 307 KM 2.5
Cabo Rojo, PR 00622-0000

Mailing address

100 Calle Calazan Lasalle
Moca, PR 00676-4178
Phone (787) 818-0485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130301000204 PR Practitioner - General Practice 5991950644 Practice locations: Moca, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Plaza Noroeste
Calle Calazan Lassalle 100 Suite 5
Moca, PR 00676
Phone (787) 818-0485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457347122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE CALAZAN LASALLE",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764178",
            "telephone_number": "787-818-0485",
            "fax_number": "787-818-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 307 KM 2.5",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006220000",
            "telephone_number": "787-818-0485",
            "fax_number": "787-818-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.