Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | ME59927 | FL |
NPI | 1104929025 |
---|---|
Provider Name | Dr. Jose Enrique Escalante |
First Address | Hialeah, FL 33013 |
Second Address | Hialeah, FL 33013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 05/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
263464300 | (05) | FL |
F 15912 | (02) | FL |