Healthcare Provider Details

I. General information

NPI: 1447714464
Provider Name (Legal Business Name): CINDY ESQUENAZI DNP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 02/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NW 12TH AVE
MIAMI FL
33136-1087
US

IV. Provider business mailing address

14645 HARRIS PL
MIAMI LAKES FL
33014-2727
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-2211
  • Fax:
Mailing address:
  • Phone: 305-397-5218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number122823
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11001186
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: