Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | ME0065373 | FL |
NPI | 1427012772 |
---|---|
Provider Name | Dr. Ricardo Emiliano Estape |
First Address | Miami, FL 33173-3637 |
Second Address | Miami, FL 33173-3637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 30/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G43058 | (02) | FL |