Provider Demographics
NPI:1003878638
Name:ILIANA ESTERRIPA CADDIGAN
Entity Type:Organization
Organization Name:ILIANA ESTERRIPA CADDIGAN
Other - Org Name:SAN MARTIN NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTERRIPA-CADDIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-682-9991
Mailing Address - Street 1:9800 NORTHWEST FWY
Mailing Address - Street 2:502
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-8845
Mailing Address - Country:US
Mailing Address - Phone:713-682-9991
Mailing Address - Fax:713-682-9992
Practice Address - Street 1:9800 NORTHWEST FWY
Practice Address - Street 2:502
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8845
Practice Address - Country:US
Practice Address - Phone:713-682-9991
Practice Address - Fax:713-682-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008448251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679471Medicare ID - Type UnspecifiedLICENSED CERTIFIED HHS