Provider Demographics
NPI:1528511714
Name:NEGRON, LIANELA CRISTINA (MD)
Entity type:Individual
Prefix:
First Name:LIANELA
Middle Name:CRISTINA
Last Name:NEGRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 CALLE VIENA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4803
Mailing Address - Country:US
Mailing Address - Phone:787-240-6368
Mailing Address - Fax:
Practice Address - Street 1:225 CALLE VIENA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4803
Practice Address - Country:US
Practice Address - Phone:787-240-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14806208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics