Provider Demographics
NPI:1396829529
Name:GARCIA-NEGRON, JORGE ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ENRIQUE
Last Name:GARCIA-NEGRON
Suffix:
Gender:M
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:PO BOX 8763
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-8763
Mailing Address - Country:US
Mailing Address - Phone:787-473-9344
Mailing Address - Fax:561-320-9821
Practice Address - Street 1:137 SUGARBERRY DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7143
Practice Address - Country:US
Practice Address - Phone:561-320-9821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3626208100000X
FLME 117727208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation