MEDICARE: MRS. ESTELA NAYOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ME0057157	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134100670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ESTELA NAYOR MD

Provider Business Mailing Address
First Line	:	1631 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7344
Country	:	US
Telephone Number	:	786-422-6525
Fax Number	:	786-422-6535

Provider Business Practice Location Address
First Line	:	2025 IXORA RD
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2311
Country	:	US
Telephone Number	:	786-422-6525
Fax Number	:	786-422-6535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	10/08/2013

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