Provider Demographics
NPI:1881869584
Name:ESPINOZA, VERONICA DEL ROCIO (MD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:DEL ROCIO
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1721 SW GATLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2757
Mailing Address - Country:US
Mailing Address - Phone:772-873-7114
Mailing Address - Fax:772-873-7115
Practice Address - Street 1:1721 SW GATLIN BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2757
Practice Address - Country:US
Practice Address - Phone:772-873-7114
Practice Address - Fax:772-873-7115
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93497208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL118422400Medicaid