Healthcare Provider Details

I. General information

NPI: 1720450398
Provider Name (Legal Business Name): HUGO MARTIN ESPINOSA, M.D,P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1198 VENETIAN WAY
MIAMI BEACH FL
33139-1041
US

IV. Provider business mailing address

1200 ALTON RD
MIAMI BEACH FL
33139-3810
US

V. Phone/Fax

Practice location:
  • Phone: 305-764-7183
  • Fax:
Mailing address:
  • Phone: 305-764-7183
  • Fax: 305-603-8461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUGO MARTIN ESPINOSA
Title or Position: PRESIDENT
Credential: M.D
Phone: 305-764-7183