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ROBERTO A. NEGRON, M.D., P.C.

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Company Details

Name: ROBERTO A. NEGRON, M.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Sep 2000 (25 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 414604
Place of Formation: IDAHO
File Number: 414604
ZIP code: 83704
County: Ada County
Mailing Address: STE 101 413 N ALLUMBAUGH ST BOISE, ID 83704-9219

Agent

Name Role Address
ROBERTO A NEGRON MD Agent 413 N ALLUMBAUGH STE 101, BOISE, ID 83704

President

Name Role Address Appointed On
Roberto Negron President 413 N ALLUMBAUGH ST, BOISE, ID 83704-9219 2020-08-12

National Provider Identifier

NPI Number:
1073781373
Certification Date:
2023-08-30

Authorized Person:

Name:
ROBERTO NEGRON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2083239604

Filing

Filing Name Filing Number Filing date
Annual Report 0005905442 2024-09-20
Annual Report 0005346056 2023-08-03
Annual Report 0004839745 2022-08-03
Annual Report 0004367085 2021-08-03
Annual Report 0003970323 2020-08-12

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Date of last update: 05 Jun 2025

Sources: Idaho Secretary of State