Individual
ESTELA ESTAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, PHD, FASAHP
Contact information
Practice address
90 AVE RIO HONDO PMB 369, BAYAMON, PR 00961-3105
(787) 378-1538
(787) 764-1760
Mailing address
90 AVE RIO HONDO PMB 369, BAYAMON, PR 00961-3105
(787) 378-1538
(787) 764-1760
Taxonomy
Speciality
Code
Description
License number
State
246QC1000X
Chemistry Pathology Specialist/Technologist
Primary
1601
PR
246QM0706X
Medical Technologist
1069
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079613
ASCP LICENSE
WA
01
—
1069
MED. TECHNOLOGY LICENSE
PR
01
—
1601
CHEMIST LICENSE
PR
Enumeration date
06/06/2007
Last updated
09/11/2025
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