Provider Demographics
NPI:1629085006
Name:NEGRON, EDGARDO ALIOVER (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGARDO
Middle Name:ALIOVER
Last Name: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:URBANIZACION DORADO DEL MAR
Mailing Address - Street 2:OCEAN VILLA #10
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-796-7080
Mailing Address - Fax:
Practice Address - Street 1:CALLE MARGINAL E 1, CARRETERA #2
Practice Address - Street 2:URBANIZACION SAN SALVADOR
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-3980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15105207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22603Medicare ID - Type Unspecified