Individual provider Active NPI

Mayra Z. Negron-Monserrate, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1952434334
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9340 Issued in PR
Practice address
32 Calle Mayaguez
San Juan, PR 00917-4915
Phone
(787) 504-0115
Fax
(787) 294-9820
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 9340 PR Primary

Addresses

Primary practice location

32 Calle Mayaguez
San Juan, PR 00917-4915

Mailing address

PO Box 194288
San Juan, PR 00919-4288
Phone (787) 381-0247

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
I20050923000828 PR Practitioner - General Practice 5496789919 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9340PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Salud 2011, Inc. General Practice CurrentSince May 12, 2024 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 15, 2019 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince May 15, 2019 Accepting new patients
Servicios Medicos Universitarios Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

32 Calle Mayaguez
San Juan, PR 00917
Phone (787) 294-9371

Organizations & group practices 4

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1952434334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194288",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194288",
            "telephone_number": "787-381-0247",
            "fax_number": "787-755-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CALLE MAYAGUEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174915",
            "telephone_number": "787-504-0115",
            "fax_number": "787-294-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON-MONSERRATE",
        "first_name": "MAYRA",
        "middle_name": "Z.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.