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NPI Code Detail

MEDICARE: DR. ALESSANDRA NEGRON SIMONETTI PSY D

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
1103TC0700XClinical3273PR

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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