MEDICARE: CYNTHIA ESTRADA

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	164W00000X	Licensed Practical Nurse	88955	NM

General Provider Information

NPI Number	:	1285566778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA ESTRADA

Provider Business Mailing Address
First Line	:	7909 HAVENWOOD CT NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-4087
Country	:	US
Telephone Number	:	559-369-8751
Fax Number	:

Provider Business Practice Location Address
First Line	:	172 MONTANO RD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-5030
Country	:	US
Telephone Number	:	505-344-4427
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ CYNTHIA ESTRADA ” Practice Location

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