1013945450 NPI number — MRS. ESPERANZA ORELLANA RPTA

Table of content: MRS. ESPERANZA ORELLANA RPTA (NPI 1013945450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013945450 NPI number — MRS. ESPERANZA ORELLANA RPTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORELLANA
Provider First Name:
ESPERANZA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPTA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013945450
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URBANIZACION LOS LINOS
Provider Second Line Business Mailing Address:
APARTADO 325
Provider Business Mailing Address City Name:
JUNCOS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00777
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-734-2894
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 AVENIDA JF KENNEDY
Provider Second Line Business Practice Location Address:
URBANIZACION FERNANDEZ
Provider Business Practice Location Address City Name:
CIDRA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-714-0510
Provider Business Practice Location Address Fax Number:
787-714-0185
Provider Enumeration Date:
06/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  712 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3303543 . This is a "ACAA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 870044 . This is a "MMM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6400208 . This is a "HUMANA INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: M000409 . This is a "MEN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 04232 . This is a "AMERICAN HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223205 . This is a "PREFERRED UTI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 79809 . This is a "CFSE" identifier . This identifiers is of the category "OTHER".




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