Individual
JOSE M. NEGRON-SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 BREWSTER STREET, PAWTUCKET, RI 02860-4400
(401) 729-2339
Mailing address
111 BREWSTER STREET, WOOD BLDG #516, PAWTUCKET, RI 02860-4400
(401) 729-3481
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.087546
OH
2085R0202X
Diagnostic Radiology Physician
Primary
MD13104
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001302601
MEDICARE PTAN
RI
05
—
110086874A
—
MA
05
—
JN77480
—
RI
Enumeration date
07/21/2006
Last updated
11/18/2010
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