Healthcare Provider Details

I. General information

NPI: 1225267420
Provider Name (Legal Business Name): CAIEPA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 08/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 CALLE SAN CLAUDIO SUITE 305-B
SAN JUAN PR
00926-9907
US

IV. Provider business mailing address

359 CALLE SAN CLAUDIO SUITE 305-B
SAN JUAN PR
00926-9907
US

V. Phone/Fax

Practice location:
  • Phone: 787-460-1587
  • Fax:
Mailing address:
  • Phone: 787-460-1587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number110
License Number StatePR

VIII. Authorized Official

Name: DR. LUIS PADILLA ZAPATA
Title or Position: CORPORATE PRESIDENT
Credential: O.D.
Phone: 787-460-1587