Dagmar Jomarie Correa, MS, MT
Individual provider Active NPI Clinical Medical Laboratory · Guayanilla, PR
NPI 1184148702 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1184148702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 12 (PR)
- Practice address
- Carr 132 KM 4.5
Barrio Macana
Guayanilla, PR 00656 - Phone
- (787) 630-9149
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science, Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12 | PR | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratorio Ebenezer LLC | Clinical Medical Laboratory | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 12 | PR | Yes |
Addresses
Primary practice location
Carr 132 KM 4.5
Barrio Macana
Guayanilla, PR 00656
Mailing address
HC 1 Box 6131
Guayanilla, PR 00656-9444
Phone (787) 630-9149
Other practice location 1
31 Calle Mayor
Ponce, PR 00730-3726
Phone (787) 630-9149
Other providers in Guayanilla, PR
- CMG Ambulance Services, Inc.
- Noreimy Colon Ramos
- Jeanette Colon
- Community Health Education and Medical Services
- Francisco J Cordero-Vargas
- Cynthia Cortes
- Gloria E Coya Villaraos
- Dra Janitza R Delgado Moura L.L.C.
- Dra. Carmen Franceschini, PSC
- Farmacia Boriquen
All providers in Guayanilla, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.