Provider Demographics
NPI:1265143564
Name:ESQUIVEL, JOSE SANTIAGO JR (APRN AGACNP-BC, MSN)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:SANTIAGO
Last Name:ESQUIVEL
Suffix:JR
Gender:M
Credentials:APRN AGACNP-BC, MSN
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Mailing Address - Street 1:1600 MEDICAL CENTER DR STE 218
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5008
Mailing Address - Country:US
Mailing Address - Phone:915-910-1351
Mailing Address - Fax:
Practice Address - Street 1:1600 MEDICAL CENTER DR STE 218
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5008
Practice Address - Country:US
Practice Address - Phone:915-910-1351
Practice Address - Fax:915-262-4876
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2023-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1099943363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology