| Valentin Estrada M.d P.a | |
|
12260 Sw 8th St Suite 120 Miami FL 33184-1551 | |
| (786) 360-6057 | |
| (786) 360-6115 |
| Full Name | Valentin Estrada M.d P.a |
|---|---|
| Speciality | General Practice |
| Location | 12260 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Valentin Estrada (OWNER) |
| Authorized Official Contact | 7863606057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentin Estrada M.d P.a 12260 Sw 8 Street Suite 120 Miami FL 33184-1551 Ph: (786) 360-6057 | Valentin Estrada M.d P.a 12260 Sw 8th St Suite 120 Miami FL 33184-1551 Ph: (786) 360-6057 |
| NPI Number | 1104123454 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 02/23/2011 |
| Medicare PECOS PAC ID | 8527236710 |
|---|---|
| Medicare Enrollment ID | O20110713000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104123454 | NPI | - | NPPES |
| 277863700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME96866 (Florida) | Primary |
| Provider Name | Valentin Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649325952 PECOS PAC ID: 3274576889 Enrollment ID: I20071210000424 |
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