Healthcare Provider Details

I. General information

NPI: 1265158786
Provider Name (Legal Business Name): CYRIL ESGUERRA GAMPOL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYRIL THERESA ESGUERRA

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14273 W GRAND AVE STE 100
SURPRISE AZ
85374-4361
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 623-428-8189
  • Fax: 623-207-7917
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number282578
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number282578
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: