Individual provider Active NPI

Maria del Mar Estremera, M.D.

  • Child & Adolescent Psychiatry Physician
  • Manati, PR
National Provider Identifier
1619164662
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
17592 Issued in PR
Practice address
202 Calle Miguel Otero
Suit 101
Manati, PR 00674-4960
Phone
(787) 854-0133
NPI assigned
Oct 3, 2007
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 17592 PR Primary

Addresses

Primary practice location

202 Calle Miguel Otero
Suit 101
Manati, PR 00674-4960

Mailing address

HC 05 Box 92970
Arecibo, PR 00612-9559
Phone (787) 607-8623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17592PRMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1619164662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 05 BOX 92970",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129559",
            "telephone_number": "787-607-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CALLE MIGUEL OTERO",
            "address_2": "SUIT 101",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744960",
            "telephone_number": "787-854-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTREMERA",
        "first_name": "MARIA DEL MAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "17592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.