Healthcare Provider Details

I. General information

NPI: 1356263339
Provider Name (Legal Business Name): CTL ESPERANZA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 CALLE PINERO
SAN JUAN PR
00925-3614
US

IV. Provider business mailing address

F11 CALLE INDEPENDENCE
SAN JUAN PR
00926-2112
US

V. Phone/Fax

Practice location:
  • Phone: 787-406-9212
  • Fax:
Mailing address:
  • Phone: 787-406-9212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMARI CANDELARIA CARRION
Title or Position: PRESIDENT
Credential:
Phone: 787-406-9212