Ivette M Negron, D.M.D.
Individual provider Active NPI General Practice Dentistry · Loiza, PR
NPI 1891862884 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891862884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1611 (PR)
- Practice address
- Carretera #188 Int. #187
Loiza, PR 00772 - Phone
- (787) 876-2042
- Fax
- (787) 256-1900
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329000123 | PR | Order and Referring Only - Dentist |
2365749843 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1611 | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concilio de Salud Integral de Loiza | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1611 | PR | Yes |
Addresses
Primary practice location
Carretera #188 Int. #187
Loiza, PR 00772
Mailing address
MB79 Paseo del Sol
Parque del Monte, Encantada
Trujillo Alto, PR 00976-6092
Phone (787) 876-2042
Other providers in Loiza, PR
- Naydi Molina-Fuentes
- Santiago Molina
- Willmarie Morales Figueroa
- Astrid Morales-Ralat
- Municipio de Loiza
- Abigail Oquendo
- Marla I Ortiz Davila
- Nilka I Ortiz
- Emma R Osorio
- Gloria M. Osorio
All providers in Loiza, PR · General Practice Dentistry in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.