Provider Demographics
NPI:1023121563
Name:ESPINAL, LADYNEZ (MD)
Entity type:Individual
Prefix:
First Name:LADYNEZ
Middle Name:
Last Name:ESPINAL
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 1:3000 SW 148TH AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4169
Mailing Address - Country:US
Mailing Address - Phone:954-538-1997
Mailing Address - Fax:954-538-1993
Practice Address - Street 1:3000 SW 148TH AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4169
Practice Address - Country:US
Practice Address - Phone:954-538-1997
Practice Address - Fax:954-538-1993
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96713207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSG082351OtherVISTA
FL354287OtherWELLCARE
FL354287OtherSTAYWELL
FL276487300Medicaid
FL354287OtherHEALTHEASE
FL276487300Medicaid