Provider Demographics
NPI:1932967221
Name:ESCRIBA MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:ESCRIBA MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ABELARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCRIBA OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-639-8651
Mailing Address - Street 1:13182 LA MIRADA CIR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3997
Mailing Address - Country:US
Mailing Address - Phone:773-639-8651
Mailing Address - Fax:
Practice Address - Street 1:11925 SOUTHERN BLVD STE 3
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7672
Practice Address - Country:US
Practice Address - Phone:773-364-0750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty