Provider Demographics
NPI:1013900711
Name:SANTANA ESQUILIN, WILLIAM ANTONIO (RPT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ANTONIO
Last Name:SANTANA ESQUILIN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 VISTAS RIO GRANDE
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-9734
Mailing Address - Country:US
Mailing Address - Phone:787-642-1618
Mailing Address - Fax:
Practice Address - Street 1:103 CALLE CORCHADO
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3257
Practice Address - Country:US
Practice Address - Phone:787-647-8700
Practice Address - Fax:800-319-5344
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1177225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR870047OtherMMM HEALTHCARE PROVIDER N
PR7450061OtherHUMANA PROVIDER NUMBER
PRP780OtherFIRST MEDICAL PROVIDER NU
PRQ04118Medicare UPIN
PR870047OtherMMM HEALTHCARE PROVIDER N