Provider Demographics
NPI:1154523033
Name:CORREA, WANDA SINIA (MD)
Entity type:Individual
Prefix:DR
First Name:WANDA
Middle Name:SINIA
Last Name:CORREA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:HC 9 BOX 4674
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-9621
Mailing Address - Country:US
Mailing Address - Phone:787-804-0543
Mailing Address - Fax:
Practice Address - Street 1:AVE. SANTIAGO DE LOS CABALLEROS
Practice Address - Street 2:CFSE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00733
Practice Address - Country:US
Practice Address - Phone:787-848-4545
Practice Address - Fax:787-259-8659
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR66002083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine