Healthcare Provider Details
I. General information
NPI: 1427087295
Provider Name (Legal Business Name): FRANCISCO J. ESTEVEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/02/2006
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3661 S MIAMI AVE SUITE 205
MIAMI FL
33133-4236
US
IV. Provider business mailing address
3661 S MIAMI AVE SUITE 205
MIAMI FL
33133-4236
US
V. Phone/Fax
- Phone: 305-856-3212
- Fax: 305-856-3212
- Phone: 305-856-3212
- Fax: 305-856-3212
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | ME0048466 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: