MEDICARE: CRISTIAN ESPINOZA ATC

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	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1891156345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTIAN ESPINOZA ATC

Provider Business Mailing Address
First Line	:	3100 SW 62ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 SW 62ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3009
Country	:	US
Telephone Number	:	800-432-6837
Fax Number	:

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

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	03/10/2026

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Directions to “ CRISTIAN ESPINOZA ATC” Practice Location

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