Provider Demographics
NPI:1073720280
Name:TECHNICAL PROFESSIONAL OF HEALTH
Entity Type:Organization
Organization Name:TECHNICAL PROFESSIONAL OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LOYDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-449-8996
Mailing Address - Street 1:116 CALLE UCAR
Mailing Address - Street 2:URB VILLAS DE SANCRISTOBAL
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR 183 KM 19.2
Practice Address - Street 2:BO. MONTONES
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-449-8996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
Not Answered2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty