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NPI Code Detail

MEDICARE: JESUS S NEGRETTE M.D.

MEDICARE: JESUS S NEGRETTE 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
1174400000XSpecialistME49543FL
2208000000XPediatrics PhysicianME49543FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME49543OTHERFLMEDICAL LICENSE
310408OTHERFLBLUE CROSS BLUE SHIELD #

General Provider Information

NPI Number : 1912960154
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESUS S NEGRETTE M.D.
Provider Business Mailing Address
First Line : 3601 FEDERAL HWY
Second Line :
City : MIAMI
State : FL
Zip : 33137-3795
Country : US
Telephone Number : 305-567-6611
Fax Number : 786-476-2819
Provider Business Practice Location Address
First Line : 3601 FEDERAL HWY
Second Line :
City : MIAMI
State : FL
Zip : 33137-3795
Country : US
Telephone Number : 305-567-6611
Fax Number : 786-476-2819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 04/07/2015

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Directions to “ JESUS S NEGRETTE M.D.” Practice Location

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