Individual provider Active NPI

Vicma Flor Escalante Zerpa, PA DERMATOLOGY

  • Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1023631090
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PACN38 Issued in FL
Practice address
2030 S Douglas Rd Ste 216
Coral Gables, FL 33134-4620
Phone
(305) 610-0585
NPI assigned
May 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2064-PA PR
Physician Assistant 363A00000X PACN38 FL Primary
Surgical Assistant 246ZC0007X 14-518 WI
Medical Physician Assistant 363AM0700X TPPA669 FL

Addresses

Primary practice location

2030 S Douglas Rd Ste 216
Coral Gables, FL 33134-4620

Mailing address

2935 SW 60TH CT
Miami, FL 33155-4046
Phone (786) 302-0934

Other practice location 1

823 NE 125th St
North Miami, FL 33161-5711
Phone (305) 895-7840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14-518WIMDSurgical Assistant
PACN38FLMDPhysician Assistant
TPPA669FLMDMedical Physician Assistant
2064-PAPRMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Viso E. Corpo LLC CurrentSince May 11, 2025 Accepting new patients

Locations

2030 S Douglas Rd
Ste 216
Coral Gables, FL 33134
Phone (305) 610-0585

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1023631090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 SW 60TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554046",
            "telephone_number": "786-302-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S DOUGLAS RD STE 216",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344620",
            "telephone_number": "305-610-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 NE 125th St",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615711",
            "country_code": "US",
            "telephone_number": "305-895-7840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCALANTE ZERPA",
        "first_name": "VICMA",
        "middle_name": "FLOR",
        "credential": "PA DERMATOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "2064-PA",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PACN38",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "14-518",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "TPPA669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.