Correa, Gerardo

Correa, Gerardo is an sole proprietor health care provider with primary practice located at Carr 3 350 Plaza Palma Real, Humacao PR 00791-4736. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Correa, Gerardo can be contacted via phone (787) 850-5222.

Contact Information

Primary practice address
Carr 3 350 Plaza Palma Real Humacao PR 00791-4736
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0229 Puerto Rico

Profile Details

NPI number 1306997309
LBN Legal business name Correa, Gerardo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Aug 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306997309 NPPES
Puerto Rico MEDICAID 038264500

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