MEDICARE: DR. JUAN DIEGO ESTRADA M.D

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD434575	PA
2	207R00000X	Internal Medicine Physician	ME106081	FL
3	207R00000X	Internal Medicine Physician	045467	CT

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0010900	OTHER	FL	FLORIDA BLUE
2	0016500	OTHER	FL	CENTENE CORPORATION
3	RP039	OTHER	FL	OSCAR HEALTH
4	0001201	OTHER	FL	AETNA HEALTH INC.
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	61101	OTHER	FL	HUMANA
7	87726	OTHER	FL	UNITED HEALTHCARE
8	001	OTHER	FL	ELEVANCE HEALTH

NPI Number	:	1609078286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN DIEGO ESTRADA M.D

Provider Business Mailing Address
First Line	:	66 W FLAGLER ST STE 900
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-1807
Country	:	US
Telephone Number	:	786-666-3507
Fax Number	:	305-921-7355

Provider Business Practice Location Address
First Line	:	66 W FLAGLER ST STE 900
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-1807
Country	:	US
Telephone Number	:	786-999-3507
Fax Number	:	305-921-7355

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	04/30/2025

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141