Provider Demographics
NPI:1164292421
Name:RODRIGUEZ NEGRIN, RENE (RN)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:
Last Name:RODRIGUEZ NEGRIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2984 SIDNEY ST APT 217
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-5140
Mailing Address - Country:US
Mailing Address - Phone:786-683-0922
Mailing Address - Fax:
Practice Address - Street 1:2984 SIDNEY ST APT 217
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-5140
Practice Address - Country:US
Practice Address - Phone:786-683-0922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PARN781850163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program