MEDICARE: DR. RAMON E. NEGRON RIVERA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	10114	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	069586	OTHER	PR	CRUZ AZUL
2	2522	OTHER	PR	IMC
3	82860	OTHER	PR	SSS

General Provider Information

NPI Number	:	1285615021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMON E. NEGRON RIVERA M.D.

Provider Business Mailing Address
First Line	:	17 CALLE MUNOZ RIVERA
Second Line	:
City	:	VILLALBA
State	:	PR
Zip	:	00766-2228
Country	:	US
Telephone Number	:	787-847-2441
Fax Number	:	787-847-2441

Provider Business Practice Location Address
First Line	:	17 CALLE MUNOZ RIVERA
Second Line	:
City	:	VILLALBA
State	:	PR
Zip	:	00766-2228
Country	:	US
Telephone Number	:	787-847-2441
Fax Number	:	787-847-2441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	04/21/2020

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