Healthcare Provider Details

I. General information

NPI: 1285571570
Provider Name (Legal Business Name): CERCANOS MEDICAL PUERTO RICO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 NW 36TH ST STE 501
DORAL FL
33166-6688
US

IV. Provider business mailing address

8600 NW 36TH ST STE 501
DORAL FL
33166-6688
US

V. Phone/Fax

Practice location:
  • Phone: 305-831-2358
  • Fax: 844-670-0904
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN ESTRADA
Title or Position: PRESIDENT
Credential: MD
Phone: 786-999-3507