Individual
MARIA VICTORIA EGUSQUIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3220 SW 107TH AVE, MIAMI, FL 33165-3606
(305) 551-1195
(305) 551-1094
Mailing address
3220 SW 107TH AVE, MIAMI, FL 33165-3606
(305) 551-1195
(305) 551-1094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 54356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063401800
—
FL
05
—
063401802
—
FL
Enumeration date
04/10/2006
Last updated
07/08/2007
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