Provider Demographics
NPI:1376821322
Name:LORENZO J. NEGRET, M.D., P.A.
Entity Type:Organization
Organization Name:LORENZO J. NEGRET, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEGRET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-223-9815
Mailing Address - Street 1:11760 SW 40TH ST STE 433
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3595
Mailing Address - Country:US
Mailing Address - Phone:305-223-9815
Mailing Address - Fax:305-223-4840
Practice Address - Street 1:11760 SW 40TH ST STE 433
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3595
Practice Address - Country:US
Practice Address - Phone:305-223-9815
Practice Address - Fax:305-223-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 29808207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL039710500Medicaid
FL039710500Medicaid