Individual provider Active NPI

Sandra Ximena Escovar, MD

  • General Practice Physician
  • Sarasota, FL
National Provider Identifier
1164016697
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24663 Issued in PR
Practice address
3830 Bee Ridge Rd Ste 200
Sarasota, FL 34233-1105
Phone
(941) 927-5178
NPI assigned
Feb 24, 2021
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME184250 FL
General Practice Physician 208D00000X 24663 PR Primary

Addresses

Primary practice location

3830 Bee Ridge Rd Ste 200
Sarasota, FL 34233-1105

Mailing address

1865 Brickell Ave Apt A613
Miami, FL 33129-1631
Phone (786) 280-1850

Other practice location 1

4351 Cortez Rd W Ste 101
Bradenton, FL 34210-3215
Phone (941) 927-5178

Other practice location 2

11505 Palmbrush Trl Ste 220
Lakewood Ranch, FL 34202-2915
Phone (941) 927-5178

Other practice location 3

6106 53rd Avenue East
Bradenton, FL 34203
Phone (941) 927-5178

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24663PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1164016697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 BRICKELL AVE APT A613",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291631",
            "telephone_number": "786-280-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 BEE RIDGE RD STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331105",
            "telephone_number": "941-927-5178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 Cortez Rd W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103215",
            "country_code": "US",
            "telephone_number": "941-927-5178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11505 Palmbrush Trl Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342022915",
            "country_code": "US",
            "telephone_number": "941-927-5178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6106 53rd Avenue East",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "34203",
            "country_code": "US",
            "telephone_number": "941-927-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOVAR",
        "first_name": "SANDRA",
        "middle_name": "XIMENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME184250",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.