Provider Demographics
NPI:1922389501
Name:MILAN ESTEVA, MARICARMEN (MD)
Entity Type:Individual
Prefix:
First Name:MARICARMEN
Middle Name:
Last Name:MILAN ESTEVA
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:CONDOMINIO CAMELOT
Mailing Address - Street 2:APRT 3103
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2829
Mailing Address - Country:US
Mailing Address - Phone:787-226-8116
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL MENONITA CAGUAS
Practice Address - Street 2:STE 600 CARR 172 URB TURABO GARDENS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18323207R00000X, 390200000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program