Provider Demographics
NPI:1639363914
Name:NEGRON ALVAREZ, MARIA MILAGROS (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:MILAGROS
Last Name:NEGRON ALVAREZ
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 1:805 W WADE HAMPTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-1311
Mailing Address - Country:US
Mailing Address - Phone:864-655-6615
Mailing Address - Fax:855-617-4423
Practice Address - Street 1:805 W WADE HAMPTON BLVD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1311
Practice Address - Country:US
Practice Address - Phone:864-655-6615
Practice Address - Fax:855-617-4423
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35261207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC03605019OtherMEDICARE PIN
SC352610Medicaid