Healthcare Provider Details

I. General information

NPI: 1497275564
Provider Name (Legal Business Name): MARIA ISABEL NEGRON MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A10 VISTAMAR
GUAYAMA PR
00784
US

IV. Provider business mailing address

HC 1 BOX 3091
VILLALBA PR
00766-9766
US

V. Phone/Fax

Practice location:
  • Phone: 787-689-6632
  • Fax:
Mailing address:
  • Phone: 787-689-6632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13031
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: