Provider Demographics
NPI:1346571346
Name:NEGRON-RODRIGUEZ, BRENDALI (MD)
Entity Type:Individual
Prefix:
First Name:BRENDALI
Middle Name:
Last Name:NEGRON-RODRIGUEZ
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 1:1723 TUAM ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-1252
Mailing Address - Country:US
Mailing Address - Phone:787-616-6957
Mailing Address - Fax:
Practice Address - Street 1:1723 TUAM ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-1252
Practice Address - Country:US
Practice Address - Phone:787-616-6957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3395207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology