Individual provider Active NPI

Maria Victoria Egusquiza, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1447213640
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 54356 Issued in FL
Practice address
3220 SW 107TH Ave
Miami, FL 33165-3606
Phone
(305) 551-1195
Fax
(305) 551-1094
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 54356 FL Primary

Addresses

Primary practice location

3220 SW 107TH Ave
Miami, FL 33165-3606

Mailing address

3220 SW 107TH Ave
Miami, FL 33165-3606
Phone (305) 551-1195

Other identifiers 2

IdentifierTypeStateIssuer
063401802MedicaidFL
063401800MedicaidFL

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
ME 54356FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Dade Pediatrics LLP Pediatrics Past Accepting new patients
West Dade Pediatrics Pediatrics PastSince Mar 30, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mve@wdp-fl.direct.office.nextgen.com

Organizations & group practices 2

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447213640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653606",
            "telephone_number": "305-551-1195",
            "fax_number": "305-551-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653606",
            "telephone_number": "305-551-1195",
            "fax_number": "305-551-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUSQUIZA",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 54356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063401802",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063401800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.