MEDICARE: JOSE E ESCALANTE CARDIOLOGY ASSOCIATES PA

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	174400000X	Specialist	ME 0059927	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770684904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSE E ESCALANTE CARDIOLOGY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	777 E 25TH ST STE 214
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-3850
Country	:	US
Telephone Number	:	305-836-1997
Fax Number	:	305-836-7101

Provider Business Practice Location Address
First Line	:	777 E 25TH ST
Second Line	:	STE 214
City	:	HIALEAH
State	:	FL
Zip	:	33013-3850
Country	:	US
Telephone Number	:	305-836-1997
Fax Number	:	305-836-7101

Authorized Official
Title or Position	:	CARDIOLOGY
Name	:	DR. JOSE ENRIQUE ESCALANTE
Credential	:	M.D.
Telephone Number	:	305-836-1997

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/13/2011

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