Provider Demographics
NPI:1922384056
Name:NEGRON, JOSE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:NEGRON
Suffix:
Gender:M
Credentials:DC
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 171
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0171
Mailing Address - Country:US
Mailing Address - Phone:469-432-3837
Mailing Address - Fax:
Practice Address - Street 1:14 CALLE IBANEZ
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-2920
Practice Address - Country:US
Practice Address - Phone:469-432-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11839111NR0400X
PR501111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation