Healthcare Provider Details

I. General information

NPI: 1770970642
Provider Name (Legal Business Name): DENISE NICOLE ESGUERRA TEH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2015
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL OKINAWA 676 FUTENMA
GINOWAN OKINAWA
9012202
JP

IV. Provider business mailing address

PSC 482 BOX 2626
FPO AP
96362-0027
US

V. Phone/Fax

Practice location:
  • Phone: 98-971-9355
  • Fax:
Mailing address:
  • Phone: 315-646-7485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0102204655
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102204655
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: