# DR. LIETA DIAZ PADRON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720210297
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 27OA00623900 | NJ | — |
| 152W00000X | Optometrist | 663 | PR | — |
| 152W00000X | Optometrist | OEG002184 | PA | — |
| 152W00000X | Optometrist | OPC4630 | FL | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 11/14/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101160100 | — | FL |