Healthcare Provider Details

I. General information

NPI: 1881869584
Provider Name (Legal Business Name): VERONICA DEL ROCIO ESPINOZA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 SW GATLIN BLVD
PORT ST LUCIE FL
34953-2757
US

IV. Provider business mailing address

1721 SW GATLIN BLVD
PORT SAINT LUCIE FL
34953-2757
US

V. Phone/Fax

Practice location:
  • Phone: 772-873-7114
  • Fax: 772-873-7115
Mailing address:
  • Phone: 772-873-7114
  • Fax: 772-873-7115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME93497
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: