Healthcare Provider Details

I. General information

NPI: 1457091084
Provider Name (Legal Business Name): ESMERALDA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 CALLE SANTIAGO IGLESIAS
PATILLAS PR
00723-2602
US

IV. Provider business mailing address

42 CALLE SANTIAGO IGLESIAS
PATILLAS PR
00723-2602
US

V. Phone/Fax

Practice location:
  • Phone: 787-510-2211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EVAMARIELY GARCIA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-510-2211