Individual provider Active NPI

Reni Marie Negron, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1598997413
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17675 Issued in PR
Practice address
Urb Estancias del Golf Club
Street Pedro Mendez #788
Ponce, PR 00728
Phone
(787) 841-1355
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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 17675 PR Primary

Addresses

Primary practice location

Urb Estancias del Golf Club
Street Pedro Mendez #788
Ponce, PR 00728

Mailing address

PO Box 32196
Ponce, PR 00732-2196
Phone (787) 216-2684

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
I20150318001028 PR Practitioner - General Practice 7618294364 Reassigns benefits to 1 organization
Practice locations: Juana Diaz, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17675PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
In/Patient Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Southcal Internal Providers Inc CurrentSince Aug 18, 2017 Accepting new patients
Southeastern in Hospital Medical Services LLC PastSince Jun 12, 2022 Accepting new patients

Locations

66 Calle Munoz Rivera
Juana Diaz, PR 00795
Phone (787) 260-0137

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1598997413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32196",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007322196",
            "telephone_number": "787-216-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ESTANCIAS DEL GOLF CLUB",
            "address_2": "STREET PEDRO MENDEZ #788",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-841-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "RENI",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.