Individual
INA IVELISSE NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
28 PASEO DE LA ATENAS, MANATI, PR 00674-5065
(787) 854-3519
Mailing address
PO BOX 466, MANATI, PR 00674-0466
(787) 854-3519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1236
PR
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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