Provider Demographics
NPI:1316237324
Name:CELIA ESTIMBO
Entity type:Organization
Organization Name:CELIA ESTIMBO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTIMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-968-0300
Mailing Address - Street 1:626 N TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4817
Mailing Address - Country:US
Mailing Address - Phone:956-968-0300
Mailing Address - Fax:956-968-0335
Practice Address - Street 1:626 N TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4817
Practice Address - Country:US
Practice Address - Phone:956-968-0300
Practice Address - Fax:956-968-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)