Provider Demographics
NPI:1821013335
Name:NEGRON, CARMEN J (MD)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:J
Last Name:NEGRON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11 CALLE COSTA AZUL
Mailing Address - Street 2:PASEO LAS BRISQS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-760-4232
Mailing Address - Fax:787-760-4232
Practice Address - Street 1:AVE DE DIEGO #201
Practice Address - Street 2:PLAZA SAN FCO OFIC #30
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-751-3587
Practice Address - Fax:787-753-4631
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR0047462085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
27193OtherTRIPLES
D08400Medicare UPIN
27193Medicare ID - Type Unspecified