Provider Demographics
NPI:1740215979
Name:ESPARIS, BELEN (MD)
Entity Type:Individual
Prefix:
First Name:BELEN
Middle Name:
Last Name:ESPARIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 MARKET ST
Mailing Address - Street 2:STE 201
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2640
Mailing Address - Country:US
Mailing Address - Phone:215-662-7772
Mailing Address - Fax:215-615-3671
Practice Address - Street 1:362 MARKET ST
Practice Address - Street 2:STE 201
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2640
Practice Address - Country:US
Practice Address - Phone:215-662-7772
Practice Address - Fax:215-615-3671
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81935207RS0012X
PAMD069385L207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278726100Medicaid
FL278726100Medicaid
FLU8909YMedicare PIN