Provider Demographics
NPI:1215810148
Name:FLORES CARRASQUILLO, ESTEFANIA CRISTINA
Entity type:Individual
Prefix:
First Name:ESTEFANIA
Middle Name:CRISTINA
Last Name:FLORES CARRASQUILLO
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 1:711 CAMINO DE LOS CEDROS, VEREDAS
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-9069
Mailing Address - Country:US
Mailing Address - Phone:787-692-3090
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2, KM 11.7
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-0426
Practice Address - Country:US
Practice Address - Phone:787-474-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program