Provider Demographics
NPI:1467422162
Name:STELLA ESTEVEZ, HECTOR J (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:J
Last Name:STELLA ESTEVEZ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1353 AVE LUIS VIGOREAUX
Mailing Address - Street 2:PMB 671
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2715
Mailing Address - Country:US
Mailing Address - Phone:787-707-0020
Mailing Address - Fax:787-782-2056
Practice Address - Street 1:630 CALLE ALDEBARAN
Practice Address - Street 2:URB ALTAMIRA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-707-0020
Practice Address - Fax:787-782-2056
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2016-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR10812207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G89439Medicare UPIN
PR89938Medicare ID - Type Unspecified