Provider Demographics
NPI:1699017442
Name:CABALLERO-MANRIQUE, ESTHER
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:CABALLERO-MANRIQUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 BLAIR PARK RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7885
Mailing Address - Country:US
Mailing Address - Phone:541-726-1324
Mailing Address - Fax:
Practice Address - Street 1:277 BLAIR PARK RD STE 110
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7885
Practice Address - Country:US
Practice Address - Phone:541-726-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042.0013948207L00000X, 207LP2900X
NY298177207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology