Provider Demographics
NPI:1477622371
Name:ESTERAS, DORIS MARGARITA (MD)
Entity type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:MARGARITA
Last Name:ESTERAS
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:HC- 3 BOX 15319
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703
Mailing Address - Country:US
Mailing Address - Phone:787-502-5057
Mailing Address - Fax:
Practice Address - Street 1:30 CALLE PADIAL STE 240
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3841
Practice Address - Country:US
Practice Address - Phone:787-502-5057
Practice Address - Fax:787-744-6800
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13567208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR20632Medicare ID - Type Unspecified
PRH46247Medicare UPIN