Provider Demographics
NPI:1598997413
Name:NEGRON, RENI MARIE (MD)
Entity Type:Individual
Prefix:
First Name:RENI
Middle Name:MARIE
Last Name:NEGRON
Suffix:
Gender:F
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 32196
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-2196
Mailing Address - Country:US
Mailing Address - Phone:787-216-2684
Mailing Address - Fax:
Practice Address - Street 1:URB ESTANCIAS DEL GOLF CLUB
Practice Address - Street 2:STREET PEDRO MENDEZ #788
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-841-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17675208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice