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NPI Code Detail

MEDICARE: GLADYS E NEGRON, MD PSC

MEDICARE: GLADYS E NEGRON, MD PSC
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
1207VG0400XGynecology Physician

General Provider Information

NPI Number : 1548603681
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLADYS E NEGRON, MD PSC
Provider Business Mailing Address
First Line : 1477 AVE ASHFORD APT 906
Second Line :
City : SAN JUAN
State : PR
Zip : 00907-1543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1477 AVE ASHFORD APT 906
Second Line :
City : SAN JUAN
State : PR
Zip : 00907-1543
Country : US
Telephone Number : 940-382-5230
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JORGE ZAVALA
Credential :
Telephone Number : 940-382-5230
Provider Enumeration Date : 04/08/2013
Last Update Date : 11/18/2013

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