Basic Information
Provider Information
NPI: 1982947594
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESPINEL
FirstName: ZELDE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 251 174TH ST APT 2319
Address2:  
City: SUNNY ISLES BEACH
State: FL
PostalCode: 331603360
CountryCode: US
TelephoneNumber: 7862027450
FaxNumber:  
Practice Location
Address1: 1611 NW 12TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331361005
CountryCode: US
TelephoneNumber: 3053558264
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2013
LastUpdateDate: 02/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XME132309FLY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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