Healthcare Provider Details

I. General information

NPI: 1164478913
Provider Name (Legal Business Name): ESTHER MARIN-CASARIEGO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 97 AVE STE 209
MIAMI FL
33134
US

IV. Provider business mailing address

7000 SW 97 AVE STE 209
MIAMI FL
33134
US

V. Phone/Fax

Practice location:
  • Phone: 305-273-8521
  • Fax: 305-573-4444
Mailing address:
  • Phone: 305-273-8521
  • Fax: 305-573-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME62538
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: