Healthcare Provider Details

I. General information

NPI: 1801884291
Provider Name (Legal Business Name): ERNESTO A URDAY-ESSLINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6269 NW 7TH AVE
MIAMI FL
33150-4394
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 305-751-2000
  • Fax: 855-767-2585
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0037624
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: