Healthcare Provider Details

I. General information

NPI: 1073154977
Provider Name (Legal Business Name): DARWIN ESQUIVEL APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2019
Last Update Date: 06/23/2022
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4811 W 4TH AVE
HIALEAH FL
33012-3939
US

IV. Provider business mailing address

4725 SW 95TH AVE
MIAMI FL
33165-5860
US

V. Phone/Fax

Practice location:
  • Phone: 305-822-0068
  • Fax:
Mailing address:
  • Phone: 786-853-7335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11002401
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: