Provider Demographics
NPI:1629959465
Name:NEGRON, MARILIANA
Entity type:Individual
Prefix:
First Name:MARILIANA
Middle Name:
Last Name:NEGRON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B7 TABONUCO ST
Mailing Address - Street 2:SUITE 301-A
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:874-940-2500
Mailing Address - Fax:
Practice Address - Street 1:B7 TABONUCO ST
Practice Address - Street 2:SUITE 301-A
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:874-940-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR008384183500000X
PR8384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist