IVAN ESPAILLAT MD PA NPI 1023037066

NPI Information

  • NPI: 1023037066
  • Provider Name: IVAN ESPAILLAT MD PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 12002 SW 128TH CT
    SUITE 204
    MIAMI, FL
    ZIP 33186
  • Phone: (305) 255-1127

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NPI Details

IVAN ESPAILLAT MD PA is a specialist in Miami, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IVAN ESPAILLAT MD PA NPI is 1023037066. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12002 SW 128TH CT
SUITE 204
MIAMI, FL
ZIP 33186-639
Phone: (305) 255-1127
Fax: (305) 255-1669

The provider's authorized official is Ivan Espaillat .
The authorized official title is Md and has the following contact phone number (305) 255-1127.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 9/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME92158FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q0265MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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