Provider Demographics
NPI:1851547087
Name:JOSEPH NEGRON CABAN
Entity type:Organization
Organization Name:JOSEPH NEGRON CABAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTISTA
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:DM
Authorized Official - Phone:787-784-0282
Mailing Address - Street 1:HP16 CALLE AMALIA PAOLI
Mailing Address - Street 2:ST LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3606
Mailing Address - Country:US
Mailing Address - Phone:787-784-0282
Mailing Address - Fax:787-784-5560
Practice Address - Street 1:HP16 CALLE AMALIA PAOLI
Practice Address - Street 2:ST LEVITTOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3606
Practice Address - Country:US
Practice Address - Phone:787-784-0282
Practice Address - Fax:787-784-5560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty