Provider Demographics
NPI:1801645254
Name:NEGRON NEVAREZ, CARLOS GIOVAHNY (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:GIOVAHNY
Last Name:NEGRON NEVAREZ
Suffix:
Gender:M
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 5299
Mailing Address - Street 2:
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-5299
Mailing Address - Country:US
Mailing Address - Phone:939-249-0041
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2 KM 11.9
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-474-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program