Provider Demographics
NPI:1316275456
Name:ARTURO E ESPINAL MD PA
Entity type:Organization
Organization Name:ARTURO E ESPINAL MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NOSLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ MESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-763-2384
Mailing Address - Street 1:10326 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1746
Mailing Address - Country:US
Mailing Address - Phone:305-221-7948
Mailing Address - Fax:305-228-5803
Practice Address - Street 1:10326 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1746
Practice Address - Country:US
Practice Address - Phone:305-221-7948
Practice Address - Fax:305-228-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1184715708Medicaid
FL=========OtherTAX ID
FL1184715708Medicaid