Provider Demographics
NPI:1629702501
Name:NEGRON TORRES, YOMAYRA INOCENCIA (MD)
Entity Type:Individual
Prefix:
First Name:YOMAYRA
Middle Name:INOCENCIA
Last Name:NEGRON TORRES
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:URB. LEVITTOWN LAKES JD12 CALLE CARMELO DIAZ SOLER
Mailing Address - Street 2:APT 2B
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-901-6051
Mailing Address - Fax:
Practice Address - Street 1:URB. LEVITTOWN LAKES JD12 CALLE CARMELO DIAZ SOLER
Practice Address - Street 2:APT 2B
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-901-6051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16180I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program