Provider Demographics
NPI:1184398521
Name:ESPINOSA MONZON, DAIRON (MD)
Entity type:Individual
Prefix:
First Name:DAIRON
Middle Name:
Last Name:ESPINOSA MONZON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4719 SW 144TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8904
Mailing Address - Country:US
Mailing Address - Phone:786-260-1031
Mailing Address - Fax:
Practice Address - Street 1:434 SW 12TH AVE
Practice Address - Street 2:STE 100 AND 300
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2440
Practice Address - Country:US
Practice Address - Phone:305-266-2929
Practice Address - Fax:786-558-0242
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-08
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23541208D00000X
FLACN1587208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty