Provider Demographics
NPI:1760097653
Name:SILVA-ESQUIVEL, MARIA R (NP-C)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:R
Last Name:SILVA-ESQUIVEL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-1240
Mailing Address - Country:US
Mailing Address - Phone:516-557-5083
Mailing Address - Fax:
Practice Address - Street 1:16 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4603
Practice Address - Country:US
Practice Address - Phone:201-339-1685
Practice Address - Fax:201-339-2557
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01052300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily