Healthcare Provider Details
I. General information
NPI: 1730009952
Provider Name (Legal Business Name): EYLEN ESCARRAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14431 SW 18TH ST
MIAMI FL
33175-7186
US
IV. Provider business mailing address
14431 SW 18TH ST
MIAMI FL
33175-7186
US
V. Phone/Fax
- Phone: 305-364-5533
- Fax: 786-332-2919
- Phone: 305-364-5533
- Fax: 786-332-2919
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 222Q00000X |
| Taxonomy | Developmental Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: