Healthcare Provider Details

I. General information

NPI: 1023326410
Provider Name (Legal Business Name): JAVIER ESPINAL M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8649 NW 186TH ST
HIALEAH FL
33015-2553
US

IV. Provider business mailing address

2900 CORPORATE WAY # D
MIRAMAR FL
33025-3925
US

V. Phone/Fax

Practice location:
  • Phone: 954-682-2666
  • Fax: 954-276-0094
Mailing address:
  • Phone: 954-682-2666
  • Fax: 954-276-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME117573
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: