Healthcare Provider Details

I. General information

NPI: 1982277109
Provider Name (Legal Business Name): ERIK ESTEVEZ GONZALEZ DPT, BCABA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2021
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12257 SW 10TH LN
MIAMI FL
33184-2444
US

IV. Provider business mailing address

12312 SW 10TH LN
MIAMI FL
33184-2445
US

V. Phone/Fax

Practice location:
  • Phone: 305-366-2002
  • Fax:
Mailing address:
  • Phone: 786-985-9128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT44071
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-23-14698
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: