Healthcare Provider Details

I. General information

NPI: 1992343164
Provider Name (Legal Business Name): DANIEL ESCOBAR DNP, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

12715 SW 136TH ST APT 2303
MIAMI FL
33186-5280
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-3621
  • Fax: 786-596-2841
Mailing address:
  • Phone: 305-305-4837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11005621
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: