MEDICARE: WILLIAM ANTHONY CASAS-ESPINOSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0200X	Critical Care Medicine Registered Nurse	RN9478346	FL

General Provider Information

NPI Number	:	1588235113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ANTHONY CASAS-ESPINOSA

Provider Business Mailing Address
First Line	:	2520 CORAL WAY STE 2-268
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3438
Country	:	US
Telephone Number	:	305-922-1332
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 CORAL WAY STE 2-268
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3438
Country	:	US
Telephone Number	:	305-504-6928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2021
Last Update Date	:	04/05/2024

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