Healthcare Provider Details

I. General information

NPI: 1891502530
Provider Name (Legal Business Name): DANIEL ESQUIVEL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3314 NE 7TH ST
HOMESTEAD FL
33033-6066
US

IV. Provider business mailing address

3620 SW 147TH CT
MIAMI FL
33185-3908
US

V. Phone/Fax

Practice location:
  • Phone: 305-308-6156
  • Fax:
Mailing address:
  • Phone: 305-308-6156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number42471
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: