MEDICARE: DR. LORNA I. ESTEVES DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	914	PR

General Provider Information

NPI Number	:	1952308645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORNA I. ESTEVES DMD

Provider Business Mailing Address
First Line	:	PO BOX 250477
Second Line	:
City	:	AGUADILLA
State	:	PR
Zip	:	00604-0477
Country	:	US
Telephone Number	:	787-891-4510
Fax Number	:	787-891-4510

Provider Business Practice Location Address
First Line	:	39 AVE KENNEDY
Second Line	:	REPTO LOPEZ SUITE 2
City	:	AGUADILLA
State	:	PR
Zip	:	00603-5713
Country	:	US
Telephone Number	:	787-891-4510
Fax Number	:	787-891-4510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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