Basic Information
| Provider Information | |||||||||
| NPI: | 1477505394 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESTRADA | ||||||||
| FirstName: | CARLOS | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 901 BRICKELL KEY BLVD | ||||||||
| Address2: | 2406 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331313732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3053502199 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8608 BIRD RD | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331553216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055513200 | ||||||||
| FaxNumber: | 3052221713 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 06/15/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME81544 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.