Basic Information
Provider Information
NPI: 1003806670
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEGRON VALCARCEL
FirstName: AUREA
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential: M.D., FIPP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 525 AVE ROOSEVELT
Address2: LA TORRE DE PLAZA SUITE 617
City: HATO REY
State: PR
PostalCode: 009180000
CountryCode: US
TelephoneNumber: 7872007550
FaxNumber: 7872007553
Practice Location
Address1: 525 AVE ROOSEVELT
Address2: LA TORRE DE PLAZA SUITE 617
City: HATO REY
State: PR
PostalCode: 009180000
CountryCode: US
TelephoneNumber: 7872007550
FaxNumber: 7872007553
Other Information
ProviderEnumerationDate: 10/25/2005
LastUpdateDate: 04/11/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900X14071PRY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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