Raul Correa

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

1202100 Issued in PR

Practice address

Calle 700 Manuel Pavia Street
Suite 301
San Juan, PR 00909

Phone

(787) 496-0818

NPI assigned

Aug 16, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro Ararat Inc

  dba Translucent by Centro Ararat

  • Multi-Specialty Clinic/Center
  • San Juan, PR
  • NPI 1902456221
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003332552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CALLE MANUEL PAVIA STREET",
            "address_2": "SUITE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-496-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 700 MANUEL PAVIA STREET",
            "address_2": "SUITE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-496-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "RAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "PR",
            "license": "1202100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilia Correa
• Julio Francisco Correa, D.M.D
• Kasandra Correa
• Marcos Antonio Correa, M.D.
• Maria A Correa, MD
• Alfredo Jose Corretjer, M.D.
• Francisco J Corretjer, MD
• Ileana A Corretjer, DMD
• Lizza Maria Corretjer, D.D.S.
• Ana I Corripio Sanchez, MD

• Prevention Professional in San Juan, PR
• Providers in San Juan, PR by specialty
• Prevention Professional in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.