Healthcare Provider Details

I. General information

NPI: 1912801093
Provider Name (Legal Business Name): GABRIELA N NEGRON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 CALLE SAN CIPRIAN
JUNCOS PR
00777-8526
US

IV. Provider business mailing address

533 CALLE SAN CIPRIAN
JUNCOS PR
00777-8526
US

V. Phone/Fax

Practice location:
  • Phone: 787-610-6420
  • Fax:
Mailing address:
  • Phone: 787-610-6420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number8074
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: