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NPI Code Detail

MEDICARE: DR. CARLOS J ESTRADA MD

MEDICARE: DR. CARLOS J ESTRADA 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
1207L00000XAnesthesiology Physician10539PR

General Provider Information

NPI Number : 1174526826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS J ESTRADA MD
Provider Business Mailing Address
First Line : 89 AVE DE DIEGO STE 105
Second Line : PMB 449
City : SAN JUAN
State : PR
Zip : 00927-6370
Country : US
Telephone Number : 787-403-7898
Fax Number : 787-403-7898
Provider Business Practice Location Address
First Line : 70 CALLE SANTA CRUZ
Second Line :
City : BAYAMON
State : PR
Zip : 00961-7052
Country : US
Telephone Number : 787-403-7898
Fax Number : 787-403-7898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2005
Last Update Date : 07/06/2010

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Directions to “ DR. CARLOS J ESTRADA MD” Practice Location

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