| Doctor Name: | DR. JOHANNA ORTIZ NEGRON |
| NPI Number: | 1306076799 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 2885 |
| Business Practice Address: | 16 Calle Principal Urb Bay View Catano, PR - 009624269 |
| Business Phone Number: | 7874047717 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3335, GUAYNABO |
| State: | PR |
| Postal Code: | 009703335 |
| Phone Number: | 7874047717 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2009 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |