Provider Demographics
NPI:1013945450
Name:ORELLANA, ESPERANZA (RPTA)
Entity Type:Individual
Prefix:MRS
First Name:ESPERANZA
Middle Name:
Last Name:ORELLANA
Suffix:
Gender:F
Credentials:RPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION LOS LINOS
Mailing Address - Street 2:APARTADO 325
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777
Mailing Address - Country:US
Mailing Address - Phone:787-734-2894
Mailing Address - Fax:
Practice Address - Street 1:4 AVENIDA JF KENNEDY
Practice Address - Street 2:URBANIZACION FERNANDEZ
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-714-0510
Practice Address - Fax:787-714-0185
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR712363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
3303543OtherACAA
870044OtherMMM
6400208OtherHUMANA INSURANCE
M000409OtherMEN
04232OtherAMERICAN HEALTH
223205OtherPREFERRED UTI
79809OtherCFSE