Individual
JESUS S NEGRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 567-6611
(786) 476-2819
Mailing address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 567-6611
(786) 476-2819
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
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