Healthcare Provider Details

I. General information

NPI: 1679013148
Provider Name (Legal Business Name): CLAUDIA ESQUIVEL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2017
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11634 N KENDALL DR
MIAMI FL
33176-1005
US

IV. Provider business mailing address

11634 N KENDALL DR
MIAMI FL
33176-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-2020
  • Fax: 305-270-2094
Mailing address:
  • Phone: 305-270-2020
  • Fax: 305-270-2094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN24490
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: