Provider Demographics
NPI:1710375142
Name:ESQUIVEL, AFEL
Entity Type:Individual
Prefix:
First Name:AFEL
Middle Name:
Last Name:ESQUIVEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AFEL
Other - Middle Name:
Other - Last Name:CONSUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1686 LOS SUENOS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-2963
Mailing Address - Country:US
Mailing Address - Phone:408-429-9359
Mailing Address - Fax:
Practice Address - Street 1:1686 LOS SUENOS AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-2963
Practice Address - Country:US
Practice Address - Phone:408-429-9359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14404225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist