Provider Demographics
NPI:1619164662
Name:ESTREMERA, MARIA DEL MAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA DEL MAR
Middle Name:
Last Name:ESTREMERA
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:HC 05 BOX 92970
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9559
Mailing Address - Country:US
Mailing Address - Phone:787-607-8623
Mailing Address - Fax:
Practice Address - Street 1:202 CALLE MIGUEL OTERO
Practice Address - Street 2:SUIT 101
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4960
Practice Address - Country:US
Practice Address - Phone:787-854-0133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR175922084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry