Provider Demographics
NPI:1700821444
Name:ESPINOSA, ZOE M (BA)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:M
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16358 SW 94TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1054
Mailing Address - Country:US
Mailing Address - Phone:786-306-1614
Mailing Address - Fax:
Practice Address - Street 1:9380 SUNSET DRIVE
Practice Address - Street 2:SUITE B-120
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:305-274-3172
Practice Address - Fax:305-274-0841
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator