Provider Demographics
NPI:1891965158
Name:ESCOLAR, ESTEBAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTEBAN
Middle Name:
Last Name:ESCOLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3175 NE 184TH ST
Mailing Address - Street 2:#3104
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2499
Mailing Address - Country:US
Mailing Address - Phone:305-933-1036
Mailing Address - Fax:305-397-2963
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:BUTLER BULDING
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-674-2049
Practice Address - Fax:305-397-2963
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME99237207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine