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NPI Code Detail

MEDICARE: DR. JUAN C. NEGRON - RIVERA M.D.

MEDICARE: DR. JUAN C. 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
1207R00000XInternal Medicine Physician7038PR
2207U00000XNuclear Medicine Physician7038PR

General Provider Information

NPI Number : 1922076488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN C. NEGRON - RIVERA M.D.
Provider Business Mailing Address
First Line : PO BOX 365067
Second Line : MEDICINA NUCLEAR RCM
City : SAN JUAN
State : PR
Zip : 00936-5067
Country : US
Telephone Number : 787-758-3408
Fax Number : 787-622-7852
Provider Business Practice Location Address
First Line : HOSPITAL ONCOLOGICO - CUARTO PISO, MEDICINA NUCLEAR
Second Line : CENTRO MEDICO DE PR, BO. MONACILLOS
City : SAN JUAN
State : PR
Zip : 00935-0001
Country : US
Telephone Number : 787-758-3408
Fax Number : 787-622-7852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 09/29/2011

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