Provider Demographics
NPI:1073741203
Name:ESGUERRA, CYNTHIA WALEXIE
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:WALEXIE
Last Name:ESGUERRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:WALEXIE
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1127 SUMMER BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4080
Mailing Address - Country:US
Mailing Address - Phone:813-654-7323
Mailing Address - Fax:
Practice Address - Street 1:1127 SUMMER BREEZE DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4080
Practice Address - Country:US
Practice Address - Phone:813-654-7323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist