Provider Demographics
NPI:1952565202
Name:ESTEVES, JOSE (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:ESTEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25487
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-2487
Mailing Address - Country:US
Mailing Address - Phone:412-160-0729
Mailing Address - Fax:
Practice Address - Street 1:215 W 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3713
Practice Address - Country:US
Practice Address - Phone:305-557-8444
Practice Address - Fax:305-557-5058
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102213207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000255300Medicaid
FLQX324OtherMCR PTAN
FL01221233OtherAMERIGROUP
FL2940167OtherUNITED HEALTH CARE-MEDICARE AND COMMERCIAL
FL000255300OtherMEDIPASS
FL2387468OtherCIGNA
FLPCP1578OtherQUALITY HEALTH PLANS-49TH STREET
FLPCP1579OtherQUALITY HEALTH PLANS-PASADENA
FL1069034OtherCAREPLUS 49TH STREET
FL1900283OtherAETNA-HMO
FL33322503OtherCITRUS-WEST BAY
FLP106943OtherFREEDOM HEALTH
FLTAX IDOtherAVALON
FL1068137OtherCAREPLUS-WEST BAY
FL33322502OtherCITRUS-49TH STREET N
FL52956OtherBLUE CROSS BLUE SHEILD OF FLORIDA
FL201266825OtherBEECH STREET
FL324802OtherAVMED
FL33322501OtherCITRUS-PASADENA
FL9499186OtherAETNA
FLPCP1580OtherQUALITY HEALTH PLANS-LARGO
FL000255300Medicaid
FL0418840OtherUNITED HEALTH CARE-MEDICAID
FL201266825OtherTRICARE-ALL LOCATIONS
FLPCP1581OtherQUALITY HEALTH PLANS-ICOT
FLPCP1580OtherQUALITY HEALTH PLANS-LARGO