Individual
MR. KENNETH ALEXIS CORREA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CDT CESAR ROSA FEBLES EDIFICIO ANEJO PISO2 SR 2, KM 50,, MANATI, PR 00617
(787) 641-9133
Mailing address
PO BOX 1570, BARCELONETA, PR 00617-1570
(787) 970-4634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16354
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16354
APS
PR
Enumeration date
02/21/2023
Last updated
02/21/2023
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