1831496355 NPI number — DR. CESIA N ESTEBANE RENTERIA D.C.

Table of content: DR. CESIA N ESTEBANE RENTERIA D.C. (NPI 1831496355)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831496355 NPI number — DR. CESIA N ESTEBANE RENTERIA D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESTEBANE RENTERIA
Provider First Name:
CESIA
Provider Middle Name:
N
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ESTEBANE
Provider Other First Name:
CESIA
Provider Other Middle Name:
N
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831496355
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2958
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00960-2958
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-667-1480
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12-21 AVE AGUAS BUENAS
Provider Second Line Business Practice Location Address:
URB. SANTA ROSA
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959-6623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-667-1480
Provider Business Practice Location Address Fax Number:
787-294-5792
Provider Enumeration Date:
02/18/2011

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: 111N00000X , with the licence number:  492 , 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)





Copyright © 2007-2025 www.npivalidator.com