Provider Demographics
NPI:1043313471
Name:CESTERO, ISABEL E (M D)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:E
Last Name:CESTERO
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 1558
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1558
Mailing Address - Country:US
Mailing Address - Phone:787-786-0473
Mailing Address - Fax:787-786-9718
Practice Address - Street 1:ROUTE #2 KM 11.7 BAYAMON MEDICAL PLAZA
Practice Address - Street 2:SUITE 409-B
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-786-0473
Practice Address - Fax:787-786-9718
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4506207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79548Medicare UPIN
PR0026515Medicare ID - Type Unspecified