Provider Demographics
NPI:1730177031
Name:NEGRONI, ELBA I (MD)
Entity type:Individual
Prefix:DR
First Name:ELBA
Middle Name:I
Last Name:NEGRONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1330
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-1330
Mailing Address - Country:US
Mailing Address - Phone:787-851-9226
Mailing Address - Fax:787-851-9226
Practice Address - Street 1:40 CALLE SALVADOR BRAU
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3416
Practice Address - Country:US
Practice Address - Phone:787-851-9226
Practice Address - Fax:787-851-9226
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6752208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics