Organization Name: | CENTRO DE MEDICINA PRIMARIA FAMILIAR DRA MAYRZ Z NEGRON |
NPI Number: | 1114297462 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAYRA Z NEGRON MONSERRATE (MEDICAL DIRECTOR) |
Mailing Address: | Calle Jose Fernandez #6 4 To Piso Edit Fernandez Medical Building San Juan |
State: | PR US |
Postal Code: | 00918 |
Phone Number: | 7879980639 |
Fax Number: | 7879984516 |
NPI Enumeration Date: | 01/04/2012 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |