DR. OMAR LAZARO ESPONDA M.D. NPI 1295938611

NPI Information

NPI: 1295938611
Provider Name: DR. OMAR LAZARO ESPONDA, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
1900 GLADES RD STE 100
BOCA RATON, FL
ZIP 33431
Phone: (800) 991-6117
Get Directions

DR. Omar Lazaro Esponda, M.D. is a vascular surgery surgery in Boca Raton, FL with 18 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Omar Lazaro Esponda, M.D. NPI is 1295938611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 GLADES RD STE 100
BOCA RATON, FL
ZIP 33431-333
Phone: (800) 991-6117
Fax: (888) 812-8191

The NPI 1295938611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	202K00000X	Phlebology		274587	NEW YORK	No
2	202K00000X	Phlebology		18004	PUERTO RICO	No
3	207R00000X	Internal Medicine		274587	NEW YORK	No
4	207R00000X	Internal Medicine		123442	FLORIDA	No
5	207R00000X	Internal Medicine		29407	OKLAHOMA	No
6	207R00000X	Internal Medicine		18004	PUERTO RICO	No
7	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist			No
8	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist	18004		No
9	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist	18004	PUERTO RICO	No
10	2086S0129X	Surgery	Vascular Surgery	ME123442	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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