MEDICARE: MIAMI HEADACHE CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1235757899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI HEADACHE CENTER, PLLC

Provider Business Mailing Address
First Line	:	975 ARTHUR GODFREY RD STE 302
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3342
Country	:	US
Telephone Number	:	305-588-7170
Fax Number	:	305-688-2526

Provider Business Practice Location Address
First Line	:	975 ARTHUR GODFREY RD STE 302
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3342
Country	:	US
Telephone Number	:	305-588-7170
Fax Number	:	305-688-2526

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARLOS ESCASENA
Credential	:	MD
Telephone Number	:	787-360-2675

Provider Enumeration Date	:	07/10/2020
Last Update Date	:	04/14/2026

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