Healthcare Provider Details
I. General information
NPI: 1659442424
Provider Name (Legal Business Name): ESQUIVEL MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5209 NW 74TH AVE SUITE 217
MIAMI FL
33166-4800
US
IV. Provider business mailing address
5209 NW 74TH AVE SUITE 217
MIAMI FL
33166-4800
US
V. Phone/Fax
- Phone: 305-593-8527
- Fax: 305-593-8528
- Phone: 305-593-8527
- Fax: 305-593-8528
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
DANNI
ESQUIVEL
Title or Position: PRESIDENT
Credential:
Phone: 305-593-8527