Individual provider Active NPI

Carlos R. Negron-Olmo, MD

  • General Practice Physician
  • Naranjito, PR
National Provider Identifier
1871695247
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14307 Issued in PR
Practice address
Carr. 164 Sector El Desvio
Naranjito, PR 00719
Phone
(787) 869-1290
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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 14307 PR Primary

Addresses

Primary practice location

Carr. 164 Sector El Desvio
Naranjito, PR 00719

Mailing address

Ax-5 Hermosillo Urb. Venus Gardens
San Juan, PR 00926-4696
Phone (787) 755-1733

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
I20040203000216 PR Practitioner - General Practice 9638062912 Practice locations: Bayamon, PR; Naranjito, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1871695247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AX-5 HERMOSILLO URB. VENUS GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264696",
            "telephone_number": "787-755-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 164 SECTOR EL DESVIO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON-OLMO",
        "first_name": "CARLOS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.