Individual
VANESSA MARIE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
CARR 3 KM 19.9 EAST MEDICAL PROFESSIONAL CENTER, CANOVANAS, PR 00738
(787) 256-6060
Mailing address
PO BOX 2282, CANOVANAS, PR 00729-2282
(787) 256-6060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
757
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
757
LICENSE OD
PR
Enumeration date
05/11/2022
Last updated
07/12/2022
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