Individual
GERARDO CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
CARR 3 350, PLAZA PALMA REAL, HUMACAO, PR 00791-4736
(787) 850-5222
Mailing address
E ST. G14 TORREMOLINOS, GUAYNABO, PR 00969
(787) 850-5222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0229
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038264500
—
PR
Enumeration date
01/16/2007
Last updated
08/18/2021
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