Active NPI
Maria Victoria Egusquiza, M.D.
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1447213640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 54356
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063401802 | Medicaid | FL | |
| 063401800 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 54356 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Dade Pediatrics LLP | Pediatrics | Past | Accepting new patients |
| West Dade Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
- Pediatrics Physician
- Hialeah, FL
- NPI 1902973464
-
- Pediatrics Physician
- Miami, FL
- NPI 1821392077
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.