MEDICARE: MISS MARIA M ESTRADA ARNP

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	163W00000X	Registered Nurse	ARNP9228917	FL
2	363L00000X	Nurse Practitioner	ARNP9228917	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP9228917	OTHER	FL	ARNP9228917
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821311697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARIA M ESTRADA ARNP

Provider Business Mailing Address
First Line	:	11255 SW 211 STREET
Second Line	:	AMERICAN CARE OF TAMPA, INC.
City	:	MIAMI
State	:	FL
Zip	:	33189-2240
Country	:	US
Telephone Number	:	305-278-0200
Fax Number	:	786-235-0145

Provider Business Practice Location Address
First Line	:	11211 NO. NEBRASKA AVENUE, SUITE A-5
Second Line	:	AMERICAN CARE OF TAMPA, INC.
City	:	TAMPA
State	:	FL
Zip	:	33612-5777
Country	:	US
Telephone Number	:	813-514-2333
Fax Number	:	813-514-2216

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

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	04/15/2015

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