Provider Demographics
NPI:1548566607
Name:ESPINAL, YASSER (MD)
Entity Type:Individual
Prefix:
First Name:YASSER
Middle Name:
Last Name:ESPINAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:YASSER
Other - Middle Name:ANTONIO
Other - Last Name:ESPINAL CEDENO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2480 W 26TH AVE STE 90B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5389
Mailing Address - Country:US
Mailing Address - Phone:303-222-0363
Mailing Address - Fax:303-535-4570
Practice Address - Street 1:2480 W 26TH AVE STE 90B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5389
Practice Address - Country:US
Practice Address - Phone:303-222-0363
Practice Address - Fax:303-222-0363
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMSDR.0000005207Q00000X, 207QA0401X, 207QA0505X, 207QS0010X, 2081P0004X, 2081P2900X, 2081S0010X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine