Provider Demographics
NPI:1518083831
Name:ESPINO, IVETTE MARIE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:IVETTE
Middle Name:MARIE
Last Name:ESPINO
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:IVETTE
Other - Middle Name:MARIE
Other - Last Name:ALVARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:6224 LEONARDO ST.
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3338
Mailing Address - Country:US
Mailing Address - Phone:786-367-8824
Mailing Address - Fax:305-667-8423
Practice Address - Street 1:6224 LEONARDO ST.
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3338
Practice Address - Country:US
Practice Address - Phone:786-367-8824
Practice Address - Fax:305-667-8423
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT-19352225100000X
FLPT19352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist