Provider Demographics
NPI:1356147904
Name:CLINICA TERAPEUTICA ESTRELLAS EN CRECIMIENTO LLC
Entity type:Organization
Organization Name:CLINICA TERAPEUTICA ESTRELLAS EN CRECIMIENTO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATO
Authorized Official - Prefix:MISS
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-633-0141
Mailing Address - Street 1:URB. VILLA LINDA
Mailing Address - Street 2:CALLE TORTOLA 435
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:939-633-0141
Mailing Address - Fax:
Practice Address - Street 1:7118 AVE AGUSTIN RAMOS CALERO
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:939-633-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty