Individual provider Active NPI

Clarissa Maria Correa

  • Student in an Organized Health Care Education/Training Program
  • Caguas, PR
National Provider Identifier
1144958943
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Escuela de Medicina San Juan Bautista
Carr.172 Turabo Gardens 00727
Caguas, PR 00727
Phone
(787) 743-3038
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Escuela de Medicina San Juan Bautista
Carr.172 Turabo Gardens 00727
Caguas, PR 00727

Mailing address

1917 Calle Reseda
San Juan, PR 00927-6620
Phone (787) 647-5906

Other practice location 1

1917 Calle Reseda
San Juan, PR 00927-6620
Phone (787) 647-5906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1144958943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 CALLE RESEDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276620",
            "telephone_number": "787-647-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESCUELA DE MEDICINA SAN JUAN BAUTISTA",
            "address_2": "CARR.172 TURABO GARDENS 00727",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-743-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Calle Reseda",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009276620",
            "country_code": "US",
            "telephone_number": "787-647-5906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA",
        "first_name": "CLARISSA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.