Provider Demographics
NPI:1275853665
Name:ESQUIVEL, MAYRA MASSIEL (ULTRASOUND TECH)
Entity Type:Individual
Prefix:MISS
First Name:MAYRA
Middle Name:MASSIEL
Last Name:ESQUIVEL
Suffix:
Gender:F
Credentials:ULTRASOUND TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13040 ARDIS AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-4808
Mailing Address - Country:US
Mailing Address - Phone:562-419-4641
Mailing Address - Fax:
Practice Address - Street 1:13040 ARDIS AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-4808
Practice Address - Country:US
Practice Address - Phone:562-419-4641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography