Provider Demographics
NPI:1366638892
Name:ESTEBAN MALARET, REBECCA C (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:C
Last Name:ESTEBAN MALARET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 AVE ESMERALDA
Mailing Address - Street 2:STE 102-356
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4466
Mailing Address - Country:US
Mailing Address - Phone:787-432-5223
Mailing Address - Fax:
Practice Address - Street 1:405 AVE ESMERALDA
Practice Address - Street 2:SUITE 102-356
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4466
Practice Address - Country:US
Practice Address - Phone:787-432-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13957208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty