Provider Demographics
NPI:1992686505
Name:HUIZAR, ESMERALDA JANETH
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:JANETH
Last Name:HUIZAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 MARION RD SE TRLR 118
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-2701
Mailing Address - Country:US
Mailing Address - Phone:612-412-3318
Mailing Address - Fax:612-288-1805
Practice Address - Street 1:1618 MARION RD SE TRLR 118
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-2701
Practice Address - Country:US
Practice Address - Phone:612-412-3318
Practice Address - Fax:612-288-1805
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician