Healthcare Provider Details

I. General information

NPI: 1184398521
Provider Name (Legal Business Name): DAIRON ESPINOSA MONZON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2021
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 SW 12TH AVE STE 100 AND 300
MIAMI FL
33130-2440
US

IV. Provider business mailing address

4719 SW 144TH CT
MIAMI FL
33175-8904
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-2929
  • Fax: 786-558-0242
Mailing address:
  • Phone: 786-260-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23541
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: