Provider Demographics
NPI:1720342926
Name:NEGRON COLON, RUTH D (OD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:D
Last Name:NEGRON COLON
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:2188 AVE EDUARDO RUBERTE
Mailing Address - Street 2:SAM'S CLUB OPTICAL
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0601
Mailing Address - Country:US
Mailing Address - Phone:787-844-7524
Mailing Address - Fax:787-812-1825
Practice Address - Street 1:2188 AVE EDUARDO RUBERTE
Practice Address - Street 2:SAM'S CLUB OPTICAL
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0601
Practice Address - Country:US
Practice Address - Phone:787-844-7524
Practice Address - Fax:787-812-1825
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR692152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist