MEDICARE: JULIO CESAR 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	104100000X	Social Worker

General Provider Information

NPI Number	:	1720650773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIO CESAR ESQUIVEL

Provider Business Mailing Address
First Line	:	180 N 4TH ST APT 1006
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-5546
Country	:	US
Telephone Number	:	408-794-5345
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 N 4TH ST APT 1006
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-5546
Country	:	US
Telephone Number	:	408-794-5345
Fax Number	:

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

Provider Enumeration Date	:	07/10/2021
Last Update Date	:	07/10/2021

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Directions to “ JULIO CESAR ESQUIVEL ” Practice Location

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