Active NPI
Rafael Clarence Esteva, 6291MD
- Community Health Clinic/Center
- Luquillo, PR
National Provider Identifier
1740302884
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 6291
- Practice address
- Street 2 J6
Brisas de Mar
Luquillo, PR 00773 - Phone
- (787) 889-7001
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 6291 | PR | Primary |
Addresses
Primary practice location
Street 2 J6
Brisas de Mar
Luquillo, PR 00773
Mailing address
PO Box 875
Luquillo, PR 00773-0875
Phone (787) 614-1077
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6291 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740302884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 875",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007730875",
"telephone_number": "787-614-1077",
"fax_number": "787-889-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET 2 J6",
"address_2": "BRISAS DE MAR",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "00773",
"telephone_number": "787-889-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTEVA",
"first_name": "RAFAEL",
"middle_name": "CLARENCE",
"credential": "6291MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "PR",
"license": "6291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Luquillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.