Healthcare Provider Details

I. General information

NPI: 1811479876
Provider Name (Legal Business Name): ESTHER SARAI QUINTERO PIEDRASANTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3671 BUSINESS DR. SUITE 110 3671 BUSINESS DR. SUITE 110
SACRAMENTO CA
95820
US

IV. Provider business mailing address

3671 BUSINESS DR. SUITE 110 3671 BUSINESS DR. SUITE 110
SACRAMENTO CA
95820
US

V. Phone/Fax

Practice location:
  • Phone: 916-494-8166
  • Fax:
Mailing address:
  • Phone: 916-494-8166
  • Fax: 916-480-1809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: