Healthcare Provider Details

I. General information

NPI: 1962416933
Provider Name (Legal Business Name): ESTEVEZ & ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
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

Practice location:
  • Phone: 305-856-3211
  • Fax: 305-856-9733
Mailing address:
  • Phone: 305-856-3212
  • Fax: 305-856-9733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCISCO J. ESTEVEZ
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 305-856-3212