Individual
MAITE IVELISSE NEGRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6 CALLE JOSE DE DIEGO, CIALES, PR 00638-3214
(787) 871-0356
Mailing address
60026 CALLE NARANJO, DORADO, PR 00646-9673
(787) 562-5261
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5698
PR
Other
Enumeration date
07/16/2020
Last updated
05/13/2025
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