Provider Demographics
NPI:1437838042
Name:ESPINOZA DE ESCOTET, MARIA JULIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:JULIA
Last Name:ESPINOZA DE ESCOTET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16237 SW 48TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4693
Mailing Address - Country:US
Mailing Address - Phone:786-210-2121
Mailing Address - Fax:
Practice Address - Street 1:16237 SW 48TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4693
Practice Address - Country:US
Practice Address - Phone:786-210-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician