Healthcare Provider Details

I. General information

NPI: 1134034002
Provider Name (Legal Business Name): MARIA MILAGRO DUQUE-ESTRADA HINCAPIE COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11790 SW 18TH ST APT 406
MIAMI FL
33175-1651
US

IV. Provider business mailing address

11790 SW 18TH ST APT 406
MIAMI FL
33175-1651
US

V. Phone/Fax

Practice location:
  • Phone: 786-587-4675
  • Fax:
Mailing address:
  • Phone: 786-587-4675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number20674
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: