Juan Carlos Espinoza in Setauket - Adolescent Medicine

Juan Carlos Espinoza - NPI 1114097607

Juan Carlos Espinoza is a Adolescent Medicine in Setauket, New York. Juan Carlos Espinoza practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Juan Carlos Espinoza is 1114097607. The last update date is 2007-07-08.

Juan Carlos Espinoza's current location address is 233 Old Town Rd, Setauket, New York. You can contact this provider via phone number 6316892314. The mailing address for Juan Carlos Espinoza is 233 Old Town Rd, Setauket, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Juan Carlos Espinoza
Address 233 Old Town Rd, Setauket, New York
Phone Number 6316892314
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114097607
Provider Enumeration Date 2006-11-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 233 Old Town Rd
City Setauket
State New York (NY)
Post Code 117332604
Phone Number 6316892314
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 224588-1
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2282364 NY --

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FAQs about Juan Carlos Espinoza

What is the unique identifier code issued to Juan Carlos Espinoza by the Centers for Medicare & Medicaid Services (CMS)?

The Juan Carlos Espinoza has been assigned the NPI (National Provider Identifier) 1114097607. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Juan Carlos Espinoza?

The Juan Carlos Espinoza is physically situated at 233 Old Town Rd, in the city of Setauket, state of NY, with the postal code 117332604.

What is Juan Carlos Espinoza's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Juan Carlos Espinoza is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.

On what date did the Juan Carlos Espinoza receive the assignment of its 1114097607 from the Centers for Medicare & Medicaid Services?

The Juan Carlos Espinoza was issued its 1114097607 by the Centers for Medicare & Medicaid Services on 2006-11-09.

When was the information pertaining to Juan Carlos Espinoza most recently updated or revised?

The details related to Juan Carlos Espinoza, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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