Healthcare Provider Details

I. General information

NPI: 1942732953
Provider Name (Legal Business Name): HERMINIO GARCIA-ESTRADA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 SW 27TH AVE
MIAMI FL
33135-2972
US

IV. Provider business mailing address

550 SW 27TH AVE
MIAMI FL
33135-2972
US

V. Phone/Fax

Practice location:
  • Phone: 305-541-2655
  • Fax: 305-541-2667
Mailing address:
  • Phone: 305-541-2655
  • Fax: 305-541-2667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number021786
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME160948
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number021786
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number34620
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: