Active NPI
Nannette Negron, PHD
- Psychologist
- San Juan, PR
National Provider Identifier
1538571500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5505
- Practice address
- 400 Ave Domenech Ste 604
San Juan, PR 00918-3706 - Phone
- (787) 316-5082
- NPI assigned
- May 27, 2014
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5505 | PR | Primary |
Addresses
Primary practice location
400 Ave Domenech Ste 604
San Juan, PR 00918-3706
Mailing address
PO Box 16300
San Juan, PR 00908-6300
Phone (787) 624-9155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538571500 | Other | PR | DPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5505 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evaluarte, LLC. | Current | Accepting new patients |
Locations
400 Calle Manuel Domenech
Ste 604
San Juan, PR 00918
Phone (787) 282-7681
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.
-
- Multi-Specialty Clinic/Center
- San Juan, PR
- NPI 1972255677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1538571500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16300",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009086300",
"telephone_number": "787-624-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AVE DOMENECH STE 604",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183706",
"telephone_number": "787-316-5082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRON",
"first_name": "NANNETTE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPI",
"identifier": "1538571500",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "email",
"affiliation": "N",
"address_1": "400 Ave Domenech Ste 604",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "009183706",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.