Provider Demographics
NPI:1740528157
Name:ESTEVES -SOLER, WILFREDO (MS)
Entity type:Individual
Prefix:MR
First Name:WILFREDO
Middle Name:
Last Name:ESTEVES -SOLER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 6 BOX 12106
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-6327
Mailing Address - Country:US
Mailing Address - Phone:787-830-8303
Mailing Address - Fax:
Practice Address - Street 1:HC 6 BOX 12106
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-6327
Practice Address - Country:US
Practice Address - Phone:787-830-8303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001274103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist