Doctor Name: | DR. EDWIN NEGRON-VERA |
NPI Number: | 1063628428 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14982 |
Business Practice Address: | Carr 135 Km 74.4 Adjuntas, PR - 00601 |
Business Phone Number: | 7878296036 |
Business Fax Number: | 7878296036 |
Mailing Address: | Carr 135 Km 74.4, Hc-01 Box 3926, Bo Yauecas ADJUNTAS |
State: | PR |
Postal Code: | 00601 |
Phone Number: | 7878296036 |
Fax Number: | 7878296036 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |