Individual provider Active NPI

Madeline Rivera Negron, PSY.D.

  • Clinical Psychologist
  • Aguada, PR
National Provider Identifier
1912139916
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2031 Issued in PR
Practice address
Carr 115. KM 24.5 Calle Colon #4
Edificio Aguada Complex 2DO Piso Suite 5
Aguada, PR 00602
Phone
(787) 248-7423
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2031 PR Primary

Addresses

Primary practice location

Carr 115. KM 24.5 Calle Colon #4
Edificio Aguada Complex 2DO Piso Suite 5
Aguada, PR 00602

Mailing address

111 Calle Angelito Nieves
Aguadilla, PR 00603-5800
Phone (787) 248-7423

Other practice location 1

219 Calle Santa Rosa
Reparto Lopez
Aguadilla, PR 00603-5728
Phone (787) 891-3669

Other names 1

  • Madeline Rivera Negron Professional name

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
2031PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1912139916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CALLE ANGELITO NIEVES",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035800",
            "telephone_number": "787-248-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 115. KM 24.5 CALLE COLON #4",
            "address_2": "EDIFICIO AGUADA COMPLEX 2DO PISO SUITE 5",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-248-7423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Calle Santa Rosa",
            "address_2": "Reparto Lopez",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "006035728",
            "country_code": "US",
            "telephone_number": "787-891-3669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA NEGRON",
        "first_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "RIVERA NEGRON",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.