Healthcare Provider Details

I. General information

NPI: 1700827011
Provider Name (Legal Business Name): XIMENA ESCALONA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7392 NW 35TH TER SUITE 201/ 202
MIAMI FL
33122-1271
US

IV. Provider business mailing address

7392 NW 35TH TER SUITE 201/ 202
MIAMI FL
33122-1271
US

V. Phone/Fax

Practice location:
  • Phone: 305-597-9494
  • Fax: 305-597-9495
Mailing address:
  • Phone: 305-597-9494
  • Fax: 305-597-9495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: