Provider Demographics
NPI:1285615021
Name:NEGRON RIVERA, RAMON E (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:E
Last Name:NEGRON RIVERA
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 1:17 CALLE MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-2228
Mailing Address - Country:US
Mailing Address - Phone:787-847-2441
Mailing Address - Fax:787-847-2441
Practice Address - Street 1:17 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-2228
Practice Address - Country:US
Practice Address - Phone:787-847-2441
Practice Address - Fax:787-847-2441
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10114208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR069586OtherCRUZ AZUL
PR2522OtherIMC
PR82860OtherSSS
PR82860OtherSSS
PR82399Medicare ID - Type UnspecifiedMEDICARE