Provider Demographics
NPI:1730264169
Name:ESTAPE, ROBERTO ENRIQUE (ARNP)
Entity type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:ENRIQUE
Last Name:ESTAPE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:E
Other - Last Name:ESTAPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:7800 SW 87TH AVE STE 130A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3637
Mailing Address - Country:US
Mailing Address - Phone:305-666-1811
Mailing Address - Fax:305-666-1801
Practice Address - Street 1:7800 SW 87TH AVE STE 130A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3637
Practice Address - Country:US
Practice Address - Phone:305-666-1811
Practice Address - Fax:305-666-1801
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2151492363L00000X
FLAN2151492363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health