Provider Demographics
NPI:1891482246
Name:NEGRON LOSADA, CESIA M (DMD)
Entity Type:Individual
Prefix:
First Name:CESIA
Middle Name:M
Last Name:NEGRON LOSADA
Suffix:
Gender:F
Credentials:DMD
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 1072
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1072
Mailing Address - Country:US
Mailing Address - Phone:939-289-3557
Mailing Address - Fax:
Practice Address - Street 1:PHELPS MEMORIAL HOSPITAL
Practice Address - Street 2:701 NORTH BROADWAY
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-594-2124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program