Individual provider Active NPI

Juanita Negron, M.D.

  • Pediatrics Physician
  • Carolina, PR
National Provider Identifier
1508876707
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12608 Issued in PR
Practice address
105 Ave Laguna
Apdo. 602 Apt. 611
Carolina, PR 00979-6483
Phone
(787) 791-6885
NPI assigned
Aug 9, 2006
Reactivated
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12608 PR Primary

Addresses

Primary practice location

105 Ave Laguna
Apdo. 602 Apt. 611
Carolina, PR 00979-6483

Mailing address

105 Ave Laguna
Apdo. 602 Apt. 611
Carolina, PR 00979-6483
Phone (787) 791-6885

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12608PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Medicos Universitarios Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: uprjnp@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1508876707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AVE LAGUNA",
            "address_2": "APDO. 602 APT. 611",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796483",
            "telephone_number": "787-791-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AVE LAGUNA",
            "address_2": "APDO. 602 APT. 611",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796483",
            "telephone_number": "787-791-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "JUANITA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-08-29",
        "deactivation_date": "2017-08-10",
        "reactivation_date": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.