Provider Demographics
NPI:1568775690
Name:NEGRON TORRES, KAREN M
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:NEGRON TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4903 CALLE SAN PABLO
Mailing Address - Street 2:URB. SANTA TERESITA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4530
Mailing Address - Country:US
Mailing Address - Phone:787-299-3526
Mailing Address - Fax:
Practice Address - Street 1:4903 CALLE SAN PABLO
Practice Address - Street 2:URB. SANTA TERESITA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4530
Practice Address - Country:US
Practice Address - Phone:787-299-3526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-18
Last Update Date:2010-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3790174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist