MEDICARE: DENISE MARIA NEGRON DPM

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	213E00000X	Podiatrist	PO-0002209	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932340551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENISE MARIA NEGRON DPM

Provider Business Mailing Address
First Line	:	267 E 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1854
Country	:	US
Telephone Number	:	786-534-4773
Fax Number	:	786-618-9935

Provider Business Practice Location Address
First Line	:	267 E 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1854
Country	:	US
Telephone Number	:	786-534-4773
Fax Number	:	786-619-9935

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. DENISE M. NEGRON
Credential	:	D.P.M.
Telephone Number	:	786-534-4773

Provider Enumeration Date	:	03/11/2009
Last Update Date	:	04/14/2015

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