Provider Demographics
NPI:1316364466
Name:ESTEVEZ, HUGO
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:
Last Name:ESTEVEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 COLLEGE ST STE 106
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3400
Mailing Address - Country:US
Mailing Address - Phone:530-665-6596
Mailing Address - Fax:530-665-6596
Practice Address - Street 1:327 COLLEGE ST STE 106
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3400
Practice Address - Country:US
Practice Address - Phone:530-848-2849
Practice Address - Fax:530-665-6596
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)