Individual provider Active NPI

Martin F Negron Perez, DPT

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1861005902
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004577 Issued in PR
Practice address
964 Calle 28 SE
San Juan, PR 00921-2325
Phone
(787) 407-4555
NPI assigned
Aug 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004577 PR Primary

Addresses

Primary practice location

964 Calle 28 SE
San Juan, PR 00921-2325

Mailing address

964 Calle 28 SE
San Juan, PR 00921-2325
Phone (787) 407-4555

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004577PRMDCounseling Psychologist
4577PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physics Rehab Team, PSC Physical Therapist CurrentSince Jan 12, 2021 Accepting new patients

Locations

ID14 Calle Almacigo
Bayamon, PR 00956
Phone (787) 288-0808

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1861005902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 CALLE 28 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212325",
            "telephone_number": "787-407-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 CALLE 28 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212325",
            "telephone_number": "787-407-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON PEREZ",
        "first_name": "MARTIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "004577",
            "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 Aug 28, 2020; 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.