| Roberto A. Negron, M.d., P.c. | |
|
413 N Allumbaugh St Ste 101 Boise ID 83704-9219 | |
| (208) 323-1125 | |
| (208) 323-9604 |
| Full Name | Roberto A. Negron, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 413 N Allumbaugh St, Boise, Idaho |
| Authorized Official Name and Position | Roberto Negron (OWNER) |
| Authorized Official Contact | 2083231125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto A. Negron, M.d., P.c. 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 | Roberto A. Negron, M.d., P.c. 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 |
| NPI Number | 1073781373 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 5597716126 |
|---|---|
| Medicare Enrollment ID | O20050201000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073781373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M7994 (Idaho) | Primary |
| Provider Name | Roberto Negron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932139961 PECOS PAC ID: 1850342494 Enrollment ID: I20050201000748 |
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