Provider Demographics
NPI:1912339953
Name:ESPINOZA, OCTAVIO JOSE (DC)
Entity Type:Individual
Prefix:
First Name:OCTAVIO
Middle Name:JOSE
Last Name:ESPINOZA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 SW 8TH ST STE 222
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4002
Mailing Address - Country:US
Mailing Address - Phone:786-558-8075
Mailing Address - Fax:786-558-8076
Practice Address - Street 1:8500 SW 8TH ST STE 222
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4002
Practice Address - Country:US
Practice Address - Phone:786-558-8075
Practice Address - Fax:786-558-8076
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor