Estrada, Juan Diego

Estrada, Juan Diego is an individual health care provider with primary practice located at 2000 Nw 87Th Ave Ste 101&102 , Doral FL 33172-2654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Estrada, Juan Diego can be contacted via phone (305) 921-7619.

Contact Information

Primary practice address
2000 Nw 87Th Ave Ste 101&102 Doral FL 33172-2654
Phone: (305) 921-7619
Fax: (305) 921-7355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 045467 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD434575 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME106081 Florida

Profile Details

NPI number 1609078286
LBN Legal business name Estrada, Juan Diego
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Mar 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609078286 NPPES
Pennsylvania MEDICAID 1021894520003
Pennsylvania MEDICAID 1021894520001
Pennsylvania MEDICAID 002670300
Pennsylvania Other 3723949000
Pennsylvania MEDICAID 1021894520002
Pennsylvania Other 30068078
Pennsylvania Other 2088879

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