Healthcare Provider Details

I. General information

NPI: 1578449583
Provider Name (Legal Business Name): ALEXEI RICARDO ESPINOSA SUAREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10391 SW 198TH ST
CUTLER BAY FL
33157-8504
US

IV. Provider business mailing address

10391 SW 198TH ST
CUTLER BAY FL
33157-8504
US

V. Phone/Fax

Practice location:
  • Phone: 786-486-6777
  • Fax:
Mailing address:
  • Phone: 786-486-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: