Healthcare Provider Details

I. General information

NPI: 1801085865
Provider Name (Legal Business Name): JOSE A ESNARD SR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 06/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8530 SW 8 ST
MIAMI FL
33144
US

IV. Provider business mailing address

8530 SW 8TH ST
MIAMI FL
33144
US

V. Phone/Fax

Practice location:
  • Phone: 305-455-6804
  • Fax:
Mailing address:
  • Phone: 305-455-6804
  • Fax: 786-515-1098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME19828
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: