Healthcare Provider Details

I. General information

NPI: 1841680600
Provider Name (Legal Business Name): DR. LILIANA J. ESPINOSA CHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 03/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHEN MEDICAL LAUDERHILL, INC 2589 STATE ROAD 7
LAUDERHILL FL
33313
US

IV. Provider business mailing address

8900 VAN WYCK EXPRESSWAY JAMAICA HOSPITAL MEDICAL CENTER
JAMAICA NY
11418
US

V. Phone/Fax

Practice location:
  • Phone: 954-714-1264
  • Fax: 954-800-2081
Mailing address:
  • Phone: 718-206-7708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME130722
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: