Healthcare Provider Details

I. General information

NPI: 1528299526
Provider Name (Legal Business Name): MR. PEDRO ESCUDERO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 09/25/2025
Certification Date:
Deactivation Date: 04/27/2025
Reactivation Date: 09/25/2025

III. Provider practice location address

8150 SW 8TH ST SUITE 212
MIAMI FL
33144-4263
US

IV. Provider business mailing address

8150 SW 8TH ST SUITE 212
MIAMI FL
33144-4263
US

V. Phone/Fax

Practice location:
  • Phone: 305-392-0004
  • Fax: 305-392-0006
Mailing address:
  • Phone: 305-392-0004
  • Fax: 305-392-0006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMA44688
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: