Active NPI
Marisol Negron, M.PSY.
- Psychologist
- San Juan, PR
National Provider Identifier
1588903967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4303
- Practice address
- 615 Ave Andalucia
San Juan, PR 00920-5309 - Phone
- (787) 428-7200
- NPI assigned
- Feb 5, 2013
- 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 | 4303 | PR | Primary |
Addresses
Primary practice location
615 Ave Andalucia
San Juan, PR 00920-5309
Mailing address
PO Box 367593
San Juan, PR 00936-7593
Phone (787) 428-7200
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 |
|---|---|---|---|
| 4303 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1588903967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367593",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009367593",
"telephone_number": "787-428-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 AVE ANDALUCIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009205309",
"telephone_number": "787-428-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRON",
"first_name": "MARISOL",
"credential": "M.PSY.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "4303",
"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 Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.