Individual
JESUS S NEGRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME49543
FL
208000000X
Pediatrics Physician
Primary
ME49543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061422000
—
FL
01
—
10408
BLUE CROSS BLUE SHIELD #
FL
01
—
ME49543
MEDICAL LICENSE
FL
Enumeration date
04/10/2006
Last updated
04/07/2015
Update your record
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