Healthcare Provider Details

I. General information

NPI: 1508425117
Provider Name (Legal Business Name): JENNIFER CALVO ESTEVEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 SW 74TH CT STE 1911
MIAMI FL
33156-3178
US

IV. Provider business mailing address

8950 SW 74TH CT STE 1906
MIAMI FL
33156-3178
US

V. Phone/Fax

Practice location:
  • Phone: 305-842-2283
  • Fax:
Mailing address:
  • Phone: 305-842-2283
  • Fax: 305-503-7338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11022775
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11022775
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: