Provider Demographics
NPI:1750274403
Name:CORREA, LINETH BEATRIZ (NONE)
Entity type:Individual
Prefix:MRS
First Name:LINETH
Middle Name:BEATRIZ
Last Name:CORREA
Suffix:
Gender:F
Credentials:NONE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 SW 4TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-2523
Mailing Address - Country:US
Mailing Address - Phone:239-203-6713
Mailing Address - Fax:
Practice Address - Street 1:903 SW 4TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-2523
Practice Address - Country:US
Practice Address - Phone:239-203-6713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator