Provider Demographics
NPI:1932347036
Name:JOSE A ESNARD MD PA
Entity Type:Organization
Organization Name:JOSE A ESNARD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSYCIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESNARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-223-3580
Mailing Address - Street 1:4155 SW 130TH AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3414
Mailing Address - Country:US
Mailing Address - Phone:305-223-3580
Mailing Address - Fax:305-223-3582
Practice Address - Street 1:4155 SW 130TH AVE
Practice Address - Street 2:STE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3414
Practice Address - Country:US
Practice Address - Phone:305-223-3580
Practice Address - Fax:305-223-3582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME19828261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD53111Medicare UPIN