Provider Demographics
NPI:1437440989
Name:INSTITUTO MEDICO NEGRON LOPEZ, C.S.P
Entity Type:Organization
Organization Name:INSTITUTO MEDICO NEGRON LOPEZ, C.S.P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-781-5440
Mailing Address - Street 1:CARR 21 SUITE 101
Mailing Address - Street 2:URB LAS LOMAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3304
Mailing Address - Country:US
Mailing Address - Phone:787-781-5440
Mailing Address - Fax:
Practice Address - Street 1:CARR 21 SUITE 101
Practice Address - Street 2:URB LAS LOMAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3304
Practice Address - Country:US
Practice Address - Phone:787-781-5440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty