| Jose M Negron-soto, MD | |
|
111 Brewster Street, Pawtucket, RI 02860-4400 | |
| (401) 729-2339 | |
| Not Available |
| Full Name | Jose M Negron-soto |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 111 Brewster Street, Pawtucket, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083635437 | NPI | - | NPPES |
| 110086874A | Medicaid | MA | |
| JN77480 | Medicaid | RI | |
| 001302601 | Other | RI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35.087546 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD13104 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tower Imaging Llc | 2860470077 | 92 |
| Intercoastal Medical Group Inc | 6305730912 | 166 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | Medical Technology Transfer Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104947217 PECOS PAC ID: 1658265079 Enrollment ID: O20040209000360 |
| Entity Name | Intercoastal Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578537767 PECOS PAC ID: 6305730912 Enrollment ID: O20040212000600 |
| Entity Name | Tower Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467654244 PECOS PAC ID: 2860470077 Enrollment ID: O20040713000446 |
| Entity Name | Elite Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376819888 PECOS PAC ID: 2466496880 Enrollment ID: O20050616000704 |
| Entity Name | Manatee Memorial Hospital L P |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770505687 PECOS PAC ID: 2062309164 Enrollment ID: O20060221000789 |
| Entity Name | Rose Radiology Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629162904 PECOS PAC ID: 2961451315 Enrollment ID: O20141022002331 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose M Negron-soto, MD 111 Brewster Street, Wood Bldg #516, Pawtucket, RI 02860-4400 Ph: (401) 729-3481 | Jose M Negron-soto, MD 111 Brewster Street, Pawtucket, RI 02860-4400 Ph: (401) 729-2339 |
Artemio M Manansala, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2617 | |
Dr. Michael E Jay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2339 | |
Joan C Desantis, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2339 |