Provider Demographics
NPI:1477616191
Name:NEGRON, DELMA (MD)
Entity Type:Individual
Prefix:
First Name:DELMA
Middle Name:
Last Name:NEGRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:D67 CIALITOS STREET
Mailing Address - Street 2:RIO HONDO II
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-785-7848
Mailing Address - Fax:787-780-5434
Practice Address - Street 1:J20 STREET #2
Practice Address - Street 2:EXT HERMANAS DAVILAS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-740-1178
Practice Address - Fax:787-780-5434
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR7592207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC77679Medicare UPIN
PR29323Medicare ID - Type Unspecified