Provider Demographics
NPI:1205991148
Name:NAVARRETE, ENERY (MD)
Entity type:Individual
Prefix:DR
First Name:ENERY
Middle Name:
Last Name:NAVARRETE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ULISES MARTINEZ ST. 69 SOUTH
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-4120
Mailing Address - Country:US
Mailing Address - Phone:787-852-5357
Mailing Address - Fax:787-285-6408
Practice Address - Street 1:ULISES MARTINEZ ST. 69 SOUTH
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-4120
Practice Address - Country:US
Practice Address - Phone:787-852-5357
Practice Address - Fax:787-285-6408
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005743207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0027356Medicare ID - Type Unspecified
PRE31225Medicare UPIN