Provider Demographics
NPI:1225267420
Name:CAIEPA, INC.
Entity Type:Organization
Organization Name:CAIEPA, INC.
Other - Org Name:CAIEPA, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA ZAPATA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-460-1587
Mailing Address - Street 1:359 CALLE SAN CLAUDIO
Mailing Address - Street 2:SUITE 305-B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9907
Mailing Address - Country:US
Mailing Address - Phone:787-460-1587
Mailing Address - Fax:
Practice Address - Street 1:359 CALLE SAN CLAUDIO
Practice Address - Street 2:SUITE 305-B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-9907
Practice Address - Country:US
Practice Address - Phone:787-460-1587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR110152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty