Provider Demographics
NPI:1952307837
Name:LOPEZ-NEGRON, ARTURO (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:LOPEZ-NEGRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 AVE DOMENECH
Mailing Address - Street 2:STE 502
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3748
Mailing Address - Country:US
Mailing Address - Phone:787-765-2301
Mailing Address - Fax:787-250-8774
Practice Address - Street 1:LAS AMERICAS PROFESSIONAL CENTER, 400 DOMENECH AVENUE
Practice Address - Street 2:STE 502
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-765-2301
Practice Address - Fax:787-250-8774
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9045208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4105OtherINTERNATIONAL-MED. CARE
PR9170052OtherHUMANA
PR02-0636-9OtherACAA
PR1620-5OtherASOCIACION DE MAESTROS
PR2029OtherPREF. MEDICARE-CHOICE
PR600462OtherMMM HEALTHCARE
PR8-0735OtherTRIPLE S
PR067273OtherCRUZ AZUL
PR3047OtherAMERICAN HEALTH
PR70466OtherATLANTIC CARE
PRPE-1237OtherPAN AMERICAN
PR204215OtherPREFERRED
PR33-9045OtherU.I.A.
PR067273OtherCRUZ AZUL
PR02-0636-9OtherACAA