Individual provider Active NPI

Laura Noemi Rosario Negron, LCDA

  • Psychologist
  • San German, PR
National Provider Identifier
1497493738
Registry record updated Sep 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7067 Issued in PR
Practice address
183 Ave Univ Interamericana
San German, PR 00683-4455
Phone
(787) 538-7999
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7067 PR Primary

Addresses

Primary practice location

183 Ave Univ Interamericana
San German, PR 00683-4455

Mailing address

Calle 3 Casa C-4
Urb. Villa Aida
Cabo Rojo, PR 00623
Phone (787) 538-7999

Other practice location 1

calle 3 Casa C-4
Urb. Villa Aida
Cabo Rojo, PR 00623
Phone (787) 538-7999

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
7067PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1497493738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 3 CASA C-4",
            "address_2": "URB. VILLA AIDA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-538-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 AVE UNIV INTERAMERICANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834455",
            "telephone_number": "787-538-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "calle 3 Casa C-4",
            "address_2": "Urb. Villa Aida",
            "address_purpose": "LOCATION",
            "city": "Cabo Rojo",
            "state": "PR",
            "postal_code": "00623",
            "country_code": "US",
            "telephone_number": "787-538-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO NEGRON",
        "first_name": "LAURA",
        "middle_name": "NOEMI",
        "credential": "LCDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.