MEDICARE: XIMENA ESCALONA MS

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	104100000X	Social Worker
2	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700827011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIMENA ESCALONA MS

Provider Business Mailing Address
First Line	:	7392 NW 35TH TER
Second Line	:	SUITE 201/ 202
City	:	MIAMI
State	:	FL
Zip	:	33122-1271
Country	:	US
Telephone Number	:	305-597-9494
Fax Number	:	305-597-9495

Provider Business Practice Location Address
First Line	:	7392 NW 35TH TER
Second Line	:	SUITE 201/ 202
City	:	MIAMI
State	:	FL
Zip	:	33122-1271
Country	:	US
Telephone Number	:	305-597-9494
Fax Number	:	305-597-9495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/09/2014

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Directions to “ XIMENA ESCALONA MS” Practice Location

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