Provider Demographics
NPI:1649342023
Name:NEGRONI, MARITERE (RPT)
Entity type:Individual
Prefix:MRS
First Name:MARITERE
Middle Name:
Last Name:NEGRONI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5452 SW 127TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5496
Mailing Address - Country:US
Mailing Address - Phone:305-200-1086
Mailing Address - Fax:305-362-5209
Practice Address - Street 1:15344 NW 79TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5850
Practice Address - Country:US
Practice Address - Phone:305-821-0502
Practice Address - Fax:305-362-5208
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT15382225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist