Provider Demographics
NPI:1154599256
Name:ESTRELLA MONROIG, ENID A (RPT)
Entity type:Individual
Prefix:MRS
First Name:ENID
Middle Name:A
Last Name:ESTRELLA MONROIG
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0087
Mailing Address - Country:US
Mailing Address - Phone:787-236-9510
Mailing Address - Fax:
Practice Address - Street 1:OFICINA 106, PRIMER PISO, CARR. #2 KM 80.1
Practice Address - Street 2:ARECIBO MEDICAL CENTER
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-880-7411
Practice Address - Fax:787-817-0250
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000519261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy