MEDICARE: INSTITUTO MEDICO NEGRON LOPEZ, C.S.P

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1437440989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTO MEDICO NEGRON LOPEZ, C.S.P

Provider Business Mailing Address
First Line	:	CARR 21 SUITE 101
Second Line	:	URB LAS LOMAS
City	:	SAN JUAN
State	:	PR
Zip	:	00921-3304
Country	:	US
Telephone Number	:	787-781-5440
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 21 SUITE 101
Second Line	:	URB LAS LOMAS
City	:	SAN JUAN
State	:	PR
Zip	:	00921-3304
Country	:	US
Telephone Number	:	787-781-5440
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LUIS A NEGRON
Credential	:	M.D.
Telephone Number	:	787-781-5440

Provider Enumeration Date	:	05/02/2011
Last Update Date	:	05/02/2011

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