Healthcare Provider Details
I. General information
NPI: 1346111556
Provider Name (Legal Business Name): BLESSED ENDOCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 SE 5TH TER STE 2
CRYSTAL RIVER FL
34429-4865
US
IV. Provider business mailing address
8305 HAMMOCKS BLVD APT 5111
MIAMI FL
33193-4170
US
V. Phone/Fax
- Phone: 787-478-5618
- Fax:
- Phone: 787-478-5618
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LARRY
LIRIANO ESPINAL
Title or Position: OWNER
Credential: MD
Phone: 787-478-5618