Provider Demographics
NPI:1407882525
Name:CARLOTA, OLIVER ESQUIVEL (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:ESQUIVEL
Last Name:CARLOTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W MARKET ST
Mailing Address - Street 2:SUITE 17
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2454
Mailing Address - Country:US
Mailing Address - Phone:256-233-3100
Mailing Address - Fax:256-233-2277
Practice Address - Street 1:1005 W MARKET ST
Practice Address - Street 2:SUITE 17
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2454
Practice Address - Country:US
Practice Address - Phone:256-233-3100
Practice Address - Fax:256-233-2277
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00022106207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009949015Medicaid
AL51520735OtherBLUE CROSS BLUE SHIELD
AL51520735OtherBLUE CROSS BLUE SHIELD
ALG58331Medicare UPIN