Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 6235 | PR |
NPI | 1003855123 |
---|---|
Provider Name | Dr. Jorge Alberto Negron |
First Address | San Juan, PR 00910-1646 |
Second Address | San Juan, PR 00909-2114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 10/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D26651 | (02) | PR |