Provider Demographics
NPI:1952308645
Name:ESTEVES, LORNA I (DMD)
Entity Type:Individual
Prefix:DR
First Name:LORNA
Middle Name:I
Last Name:ESTEVES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250477
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0477
Mailing Address - Country:US
Mailing Address - Phone:787-891-4510
Mailing Address - Fax:787-891-4510
Practice Address - Street 1:39 AVE KENNEDY
Practice Address - Street 2:REPTO LOPEZ SUITE 2
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5713
Practice Address - Country:US
Practice Address - Phone:787-891-4510
Practice Address - Fax:787-891-4510
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice