NPI 1023037066

Ivan Espaillat MD PA

Organisation Specialist Miami, FL

Practice location

Address: 12002 SW 128th CT Suite 204, Miami, FL 33186-4639
Phone: (305) 255-1127
Fax: (305) 255-1669
Mailing address: PO Box 440728, Miami, FL 33144-0728

Authorised official

Name: Ivan Espaillat
Title: MD
Phone: (305) 255-1127

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME92158 (FL)

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Registry record

NPI: 1023037066
Entity type: Organization
NPI issued: 19 Jul 2006
Record last updated: 17 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.