Provider Demographics
NPI:1083682975
Name:NEGRON-VALENTIN, INGRID M (MD)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:M
Last Name:NEGRON-VALENTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CALLE WASHINGTON
Mailing Address - Street 2:29 WASHINGTON ST.
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1503
Mailing Address - Country:US
Mailing Address - Phone:787-721-8995
Mailing Address - Fax:787-721-8994
Practice Address - Street 1:ASHFORD MEDICAL CENTER, SUITE 802
Practice Address - Street 2:29 WASHINGTON ST.
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1503
Practice Address - Country:US
Practice Address - Phone:787-721-8995
Practice Address - Fax:787-721-8994
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14646207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0022506Medicare ID - Type Unspecified
PRH90245Medicare UPIN