Individual provider Active NPI

Gladys E Negron, M.D. PSC

  • Gynecology Physician
  • Barceloneta, PR
National Provider Identifier
1699845602
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
18436 Issued in PR
Practice address
Caribbean Cinema Second Floor
#1 Ofic
Barceloneta, PR 00617
Phone
(940) 382-5230
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A065789 CA
Gynecology Physician 207VG0400X 18436 PR Primary

Addresses

Primary practice location

Caribbean Cinema Second Floor
#1 Ofic
Barceloneta, PR 00617

Mailing address

50 Calle Marlin Azul
Vega Baja, PR 00693-3559
Phone (939) 202-1848

Other identifiers 1

IdentifierTypeStateIssuer
18436OtherPRPUERTO RICO STAT MEDICAL LICENSE

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
I20131127001436 PR Practitioner - Obstetrics/Gynecology 8325201056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Caribbean Cinema 2ND Floor
1 Ofic
Barceloneta, PR 00617
Phone (940) 382-5230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A065789CAMDObstetrics Physician

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1699845602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CALLE MARLIN AZUL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933559",
            "telephone_number": "939-202-1848",
            "fax_number": "888-859-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIBBEAN CINEMA SECOND FLOOR",
            "address_2": "#1 OFIC",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "940-382-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "GLADYS",
        "middle_name": "E",
        "credential": "M.D. PSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A065789",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "18436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO STAT MEDICAL LICENSE",
            "identifier": "18436",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.