Provider Demographics
NPI:1326230871
Name:NEGRETE-FUETNES, MAYRA (MEDICAL BILLER)
Entity Type:Individual
Prefix:
First Name:MAYRA
Middle Name:
Last Name:NEGRETE-FUETNES
Suffix:
Gender:F
Credentials:MEDICAL BILLER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 620691
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92162-0691
Mailing Address - Country:US
Mailing Address - Phone:619-282-5422
Mailing Address - Fax:619-283-3855
Practice Address - Street 1:3020 COLUMBINE ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-4602
Practice Address - Country:US
Practice Address - Phone:619-282-5422
Practice Address - Fax:619-283-3855
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management