Provider Demographics
NPI:1306187729
Name:NEGRON REED, CARMEN SONIA
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:SONIA
Last Name:NEGRON REED
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CARMEN
Other - Middle Name:SONIA
Other - Last Name:NEGRON REED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:512 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7432
Mailing Address - Country:US
Mailing Address - Phone:956-968-5667
Mailing Address - Fax:956-968-7421
Practice Address - Street 1:1004 N TEXAS BLVD
Practice Address - Street 2:HEB 231
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4511
Practice Address - Country:US
Practice Address - Phone:956-968-8825
Practice Address - Fax:956-968-7421
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist