Provider Demographics
NPI:1831185727
Name:ESCOVAR, YAVIR M (MD)
Entity type:Individual
Prefix:
First Name:YAVIR
Middle Name:M
Last Name:ESCOVAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12741 MIRAMAR PKWY
Mailing Address - Street 2:BUILDING 2, SUITE 104
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2903
Mailing Address - Country:US
Mailing Address - Phone:954-392-9993
Mailing Address - Fax:954-392-5559
Practice Address - Street 1:12741 MIRAMAR PKWY
Practice Address - Street 2:BUILDING 2, SUITE 104
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2903
Practice Address - Country:US
Practice Address - Phone:954-392-9993
Practice Address - Fax:954-392-5559
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2015-01-28
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Provider Licenses
StateLicense IDTaxonomies
FLME73704207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256369000Medicaid
FLE0726YMedicare PIN
FLG70187Medicare UPIN