Individual
NANNETTE NEGRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
400 AVE DOMENECH STE 604, SAN JUAN, PR 00918-3706
(787) 316-5082
Mailing address
PO BOX 16300, SAN JUAN, PR 00908-6300
(787) 624-9155
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5505
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538571500
DPI
PR
Enumeration date
05/27/2014
Last updated
04/05/2024
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