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General NPI Number Information
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NPI Number | 1609078286
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Entity Type | Individual
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Provider Name | JUAN DIEGO ESTRADA M.D
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 66 W FLAGLER ST STE 900
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City | MIAMI
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State | FL
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Zip | 33130-1807
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Country | US
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Telephone | 786-999-3507
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Fax | 305-921-7355
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Provider Business Mailing Address
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Address Line | 66 W FLAGLER ST STE 900
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City | MIAMI
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State | FL
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Zip | 33130-1807
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Country | US
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Telephone | 786-666-3507
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Fax | 305-921-7355
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD434575
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME106081
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 045467
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License Number State | CT
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