Individual provider · NPI-1
Dr. Pedro Luis Correa Amil, OD
Optometrist · Caguas, PR
NPI number1215070958
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1215070958
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pedro Luis Correa Amil
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 285 | PR | Yes |
Practice location
2d33 Ave PinoCaguas, PR 00725-6254
Phone 787-745-2115 · Fax 787-745-2490
Mailing address
2d33 Ave PinoCaguas, PR 00725-6254
Phone 787-745-2115 · Fax 787-745-2490
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