Provider Demographics
NPI:1518040070
Name:CLAUDIO LUCIANO, VILMA (OD)
Entity Type:Individual
Prefix:
First Name:VILMA
Middle Name:
Last Name:CLAUDIO LUCIANO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E27 CALLE ABACOA
Mailing Address - Street 2:PARQUE LAS HACIENDAS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-7747
Mailing Address - Country:US
Mailing Address - Phone:809-744-3351
Mailing Address - Fax:787-535-0015
Practice Address - Street 1:CARR 172 K20.6
Practice Address - Street 2:BO CANABONCITO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-286-8001
Practice Address - Fax:787-886-8800
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2019-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000392152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist