Healthcare Provider Details

I. General information

NPI: 1801645254
Provider Name (Legal Business Name): CARLOS GIOVAHNY NEGRON NEVAREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 14, BARRIO RINCON, SECTOR LAS LOMAS
CAYEY PR
00736
US

IV. Provider business mailing address

PO BOX 190263
SAN JUAN PR
00919-0263
US

V. Phone/Fax

Practice location:
  • Phone: 787-535-1001
  • Fax:
Mailing address:
  • Phone: 939-249-0041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: