Healthcare Provider Details

I. General information

NPI: 1982549069
Provider Name (Legal Business Name): EVA CORONADO DE ESTEVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2327 S 142ND CT APT 13
OMAHA NE
68144-2239
US

IV. Provider business mailing address

2327 S 142ND CT APT 16
OMAHA NE
68144-2239
US

V. Phone/Fax

Practice location:
  • Phone: 531-299-1280
  • Fax: 531-299-1299
Mailing address:
  • Phone: 531-299-1280
  • Fax: 531-299-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: