Basic Information
| Provider Information | |||||||||
| NPI: | 1942732953 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARCIA-ESTRADA | ||||||||
| FirstName: | HERMINIO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1320 LENAPE DR | ||||||||
| Address2: | |||||||||
| City: | MIAMI SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331663237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3056322747 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10 CALLE CASIA | ||||||||
| Address2: | VA CARIBBEAN HEALTHCARE, MEDICAL SERVICES OFFICE C-274 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009213200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876413670 | ||||||||
| FaxNumber: | 7876414561 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 021786 | PR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208D00000X | 34620 | PR | N | Allopathic & Osteopathic Physicians | General Practice | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RN0300X | 021786 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.