Provider Demographics
NPI:1043039035
Name:ESMERIO, MARIA DEMERY
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:DEMERY
Last Name:ESMERIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18390 VINEYARD AVE
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92377-4160
Mailing Address - Country:US
Mailing Address - Phone:909-904-1404
Mailing Address - Fax:
Practice Address - Street 1:8572 CALAVERAS AVE
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4214
Practice Address - Country:US
Practice Address - Phone:909-332-4445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide