Provider Demographics
NPI:1720751050
Name:CORREA-SIERRA, ELIA MARIA (FNP)
Entity Type:Individual
Prefix:
First Name:ELIA
Middle Name:MARIA
Last Name:CORREA-SIERRA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. PRADERA DEL RIO
Mailing Address - Street 2:# 3154
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-479-7960
Mailing Address - Fax:
Practice Address - Street 1:PRADERA DEL RIO #154
Practice Address - Street 2:RIO COCAL ST
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-479-7960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9424010363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily