Provider Demographics
NPI:1437593886
Name:ESTREMERA, YAZMIN (MA)
Entity Type:Individual
Prefix:
First Name:YAZMIN
Middle Name:
Last Name:ESTREMERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 AVE WINSTON CHURCHILL
Mailing Address - Street 2:PMB 240
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6065
Mailing Address - Country:US
Mailing Address - Phone:787-645-2020
Mailing Address - Fax:
Practice Address - Street 1:130 AVE WINSTON CHURCHILL
Practice Address - Street 2:PMB 240
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6065
Practice Address - Country:US
Practice Address - Phone:787-645-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-28
Last Update Date:2013-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4109103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling