Provider Demographics
NPI:1336912153
Name:ESQUIJAROSA, TAMARA MARIA (ARNP)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:MARIA
Last Name:ESQUIJAROSA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8926 NW 189TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6237
Mailing Address - Country:US
Mailing Address - Phone:786-879-6441
Mailing Address - Fax:
Practice Address - Street 1:8926 NW 189TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-6237
Practice Address - Country:US
Practice Address - Phone:786-879-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine