Healthcare Provider Details

I. General information

NPI: 1144088717
Provider Name (Legal Business Name): ESTEBAN J. LINARES MARTIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/08/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LA FUENTE TOWN CENTER 706 CALLE MARGINAL SUITE 11137
GUAYAMA PR
00784-0001
US

IV. Provider business mailing address

LOS ARBOLES DE MONTEHIEDRA 308 CALLE MALAGUETA
SAN JUAN PR
00926-0001
US

V. Phone/Fax

Practice location:
  • Phone: 787-866-1380
  • Fax:
Mailing address:
  • Phone: 787-504-8353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: ESTEBAN J LINARES MARTIN
Title or Position: M.D.
Credential: M.D.
Phone: 787-504-8353