MEDICARE: AFEL ESQUIVEL

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	225X00000X	Occupational Therapist	14404	CA

General Provider Information

NPI Number	:	1710375142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFEL ESQUIVEL

Provider Business Mailing Address
First Line	:	1686 LOS SUENOS AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-2963
Country	:	US
Telephone Number	:	408-429-9359
Fax Number	:

Provider Business Practice Location Address
First Line	:	1686 LOS SUENOS AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-2963
Country	:	US
Telephone Number	:	408-429-9359
Fax Number	:

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

Provider Enumeration Date	:	01/08/2015
Last Update Date	:	06/21/2022

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Directions to “ AFEL ESQUIVEL ” Practice Location

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