MEDICARE: DR. ALESSANDRA NEGRON SIMONETTI PSY D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical	3273	PR

General Provider Information

NPI Number	:	1013241728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALESSANDRA NEGRON SIMONETTI PSY D

Provider Business Mailing Address
First Line	:	1303 CALLE COLLORES
Second Line	:	URB ALTURAS DE MAYAGUEZ
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-6245
Country	:	US
Telephone Number	:	787-599-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 CALLE COLLORES
Second Line	:	URB ALTURAS DE MAYAGUEZ
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-6245
Country	:	US
Telephone Number	:	787-599-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2009
Last Update Date	:	09/28/2009

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