Provider Demographics
NPI:1255541827
Name:CORRAL, CLAUDIO JAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIO
Middle Name:JAVIER
Last Name:CORRAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:239 AVE ARTERIAL HOSTOS
Mailing Address - Street 2:CAPITAL CENTER STE 105
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1474
Mailing Address - Country:US
Mailing Address - Phone:787-763-8585
Mailing Address - Fax:
Practice Address - Street 1:239 AVE. ARTERIAL HOSTOS
Practice Address - Street 2:CAPITAL CENTER STE 105
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1474
Practice Address - Country:US
Practice Address - Phone:787-763-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR132402086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery