Healthcare Provider Details

I. General information

NPI: 1629702501
Provider Name (Legal Business Name): YOMAYRA NEGRON TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 AVENIDA JUAN PONCE DE LEON
SAN JUAN PR
00917
US

IV. Provider business mailing address

URB. LEVITTOWN LAKES JD12 CALLE CARMELO DIAZ SOLER APT 2B
TOA BAJA PR
00949
US

V. Phone/Fax

Practice location:
  • Phone: 787-901-6051
  • Fax:
Mailing address:
  • Phone: 787-901-6051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number024881
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: