Doctor Name: | ESTILITA PASCUAL |
NPI Number: | 1205935178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME0063839 |
Business Practice Address: | 4980 W 10th Ave Ste 101 Hialeah, FL - 330123437 |
Business Phone Number: | 3058195583 |
Business Fax Number: | 3058195643 |
Mailing Address: | 4980 W 10th Ave Ste 101, HIALEAH |
State: | FL |
Postal Code: | 330123437 |
Phone Number: | 3058195583 |
Fax Number: | 3058195643 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0063839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |