Provider Demographics
NPI:1528105053
Name:VERA NEGRON, AMNERIS (DMD)
Entity type:Individual
Prefix:
First Name:AMNERIS
Middle Name:
Last Name:VERA NEGRON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2411
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-2411
Mailing Address - Country:US
Mailing Address - Phone:787-734-1330
Mailing Address - Fax:787-734-1330
Practice Address - Street 1:18 CALLE ESCUTE
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3415
Practice Address - Country:US
Practice Address - Phone:787-734-1330
Practice Address - Fax:787-734-1330
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice