Provider Demographics
NPI:1942290986
Name:FALCON-OLIVERAS, ESTHER (PT)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:FALCON-OLIVERAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLLAS DECARRRAIZO
Mailing Address - Street 2:RR7 BOX 362
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-604-3348
Mailing Address - Fax:787-748-9136
Practice Address - Street 1:VILLLAS DECARRRAIZO
Practice Address - Street 2:RR7 BOX 362
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-604-3348
Practice Address - Fax:787-748-9136
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00945225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRP59800Medicare UPIN