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NPI Code Detail

MEDICARE: ALFONSO ERASMO ESCOBAR AYALA

MEDICARE: ALFONSO ERASMO ESCOBAR AYALA
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
1207X00000XOrthopaedic Surgery PhysicianME174571FL

General Provider Information

NPI Number : 1265051072
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFONSO ERASMO ESCOBAR AYALA
Provider Business Mailing Address
First Line : PO BOX 112727
Second Line :
City : GAINESVILLE
State : FL
Zip : 32611-2727
Country : US
Telephone Number : 352-273-7001
Fax Number :
Provider Business Practice Location Address
First Line : 1701 W CHARLESTON BLVD STE 440
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2325
Country : US
Telephone Number : 702-671-2272
Fax Number : 702-671-2701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2020
Last Update Date : 06/17/2026

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Directions to “ ALFONSO ERASMO ESCOBAR AYALA ” Practice Location

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