Healthcare Provider Details

I. General information

NPI: 1871249995
Provider Name (Legal Business Name): QUIRENIA ESPINOSA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 SW 180TH TER
PEMBROKE PINES FL
33029-4425
US

IV. Provider business mailing address

1116 SW 180TH TER
PEMBROKE PINES FL
33029-4425
US

V. Phone/Fax

Practice location:
  • Phone: 305-316-1677
  • Fax:
Mailing address:
  • Phone: 305-316-1677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS62628
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: