Provider Demographics
NPI:1003806670
Name:NEGRON VALCARCEL, AUREA T (MD, FIPP)
Entity Type:Individual
Prefix:DR
First Name:AUREA
Middle Name:T
Last Name:NEGRON VALCARCEL
Suffix:
Gender:F
Credentials:MD, FIPP
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Mailing Address - Street 1:525 AVE ROOSEVELT
Mailing Address - Street 2:LA TORRE DE PLAZA SUITE 617
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918-0000
Mailing Address - Country:US
Mailing Address - Phone:787-200-7550
Mailing Address - Fax:787-200-7553
Practice Address - Street 1:525 AVE ROOSEVELT
Practice Address - Street 2:LA TORRE DE PLAZA SUITE 617
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918-0000
Practice Address - Country:US
Practice Address - Phone:787-200-7550
Practice Address - Fax:787-200-7553
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14071207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0021934Medicare PIN
PRI14576Medicare UPIN