Provider Demographics
NPI:1427012772
Name:ESTAPE, RICARDO EMILIANO (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:EMILIANO
Last Name:ESTAPE
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 1:7800 SW 87TH AVE STE 130A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3637
Mailing Address - Country:US
Mailing Address - Phone:305-666-1811
Mailing Address - Fax:305-666-1801
Practice Address - Street 1:7800 SW 87TH AVE STE 130A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3637
Practice Address - Country:US
Practice Address - Phone:305-666-1811
Practice Address - Fax:305-666-1801
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0065373207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
32535YMedicare ID - Type Unspecified
FLG43058Medicare UPIN