Provider Demographics
NPI:1831496355
Name:ESTEBANE RENTERIA, CESIA N (DC)
Entity Type:Individual
Prefix:DR
First Name:CESIA
Middle Name:N
Last Name:ESTEBANE RENTERIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CESIA
Other - Middle Name:N
Other - Last Name:ESTEBANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 2958
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-2958
Mailing Address - Country:US
Mailing Address - Phone:787-667-1480
Mailing Address - Fax:
Practice Address - Street 1:12-21 AVE AGUAS BUENAS
Practice Address - Street 2:URB. SANTA ROSA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6623
Practice Address - Country:US
Practice Address - Phone:787-667-1480
Practice Address - Fax:787-294-5792
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor