Individual provider Active NPI

Selina Espinoza, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1730916552
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682
Phone
(505) 322-6687
Fax
(505) 369-3406
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682

Mailing address

133 Benmore Dr Ste 100
Winter Park, FL 32792-4111
Phone (352) 502-0328

Other practice location 1

133 Benmore Dr Ste 100
Winter Park, FL 32792-4111
Phone (407) 644-4883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104002605 FL Practitioner - Physician Assistant 4385177922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ear Nose and Throat Surgical Associates PAGroup PAC ID 2466437926, 49 clinicians

Practice addresses (Care Compare)

10920 Moss Park Rd
Suite 224
Orlando, FL 32832-6087
Phone (407) 644-4883

133 Benmore Dr
Suite 100
Winter Park, FL 32792-4111
Phone (407) 644-4883

400 Celebration PL
Suite A120
Celebration, FL 34747-4970
Phone (407) 644-4883

44 W Michigan St
Orlando, FL 32806-4453
Phone (321) 422-4921

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 644-4883

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1730916552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "352-502-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-322-6687",
            "fax_number": "505-369-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Benmore Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924111",
            "country_code": "US",
            "telephone_number": "407-644-4883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "SELINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.