Provider Demographics
NPI:1457443541
Name:ESPITIA-MUNOZ, ROSAURA (PT, DPT,GCS)
Entity Type:Individual
Prefix:
First Name:ROSAURA
Middle Name:
Last Name:ESPITIA-MUNOZ
Suffix:
Gender:F
Credentials:PT, DPT,GCS
Other - Prefix:
Other - First Name:ROSAURA
Other - Middle Name:ESPITIA
Other - Last Name:GOSINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:92 NE 139TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-2756
Mailing Address - Country:US
Mailing Address - Phone:305-685-5911
Mailing Address - Fax:305-685-5911
Practice Address - Street 1:92 NE 139TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-2756
Practice Address - Country:US
Practice Address - Phone:305-685-5911
Practice Address - Fax:305-685-5911
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT12700225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1679788665OtherORGANIZATION NPI