Healthcare Provider Details

I. General information

NPI: 1730264169
Provider Name (Legal Business Name): ROBERTO ENRIQUE ESTAPE ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ROBERT E ESTAPE ARNP

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 01/26/2022
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SW 87TH AVE STE 130A
MIAMI FL
33173-3637
US

IV. Provider business mailing address

7800 SW 87TH AVE STE 130A
MIAMI FL
33173-3637
US

V. Phone/Fax

Practice location:
  • Phone: 305-666-1811
  • Fax: 305-666-1801
Mailing address:
  • Phone: 305-666-1811
  • Fax: 305-666-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN2151492
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAN2151492
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: