Individual
DR. LUIS EDGARDO PADILLA ZAPATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
J C PENNEY OPTICAL DEPARTMENT, PLAZA CAROLINA MALL, CAROLINA, PR 00988
(787) 752-9200
(787) 257-2665
Mailing address
PO BOX 397, CABO ROJO, PR 00623-0397
(787) 851-4820
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
PR 110
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28904PA
TRIPLE S
PR
01
—
9880011
HUMANA PUERTO RICO
PR
Enumeration date
06/01/2006
Last updated
05/11/2021
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