Individual
MIRIAM ESTEVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17395 N BAY RD, SUITE 203, SUNNY ISLES BEACH, FL 33160-3334
(305) 974-0151
(305) 974-0150
Mailing address
8000 W 12TH AVE, HIALEAH, FL 33014-3522
(786) 230-6127
(305) 974-0150
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME0079171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260364100
—
FL
01
—
E5419X
MEDICARE ID
FL
Enumeration date
07/24/2006
Last updated
05/26/2011
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