Cordova, Vanessa Marie

Cordova, Vanessa Marie is an sole proprietor health care provider with primary practice located at Carr 3 Km 19.9 East Medical Professional Center , Canovanas PR 00738. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cordova, Vanessa Marie can be contacted via phone (787) 256-6060.

Contact Information

Primary practice address
Carr 3 Km 19.9 East Medical Professional Center Canovanas PR 00738
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 757 Puerto Rico

Profile Details

NPI number 1457097412
LBN Legal business name Cordova, Vanessa Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2022
Last updated Jul 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457097412 NPPES
Puerto Rico Other 757 LICENSE OD

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