Basic Information
| Provider Information | |||||||||
| NPI: | 1952565202 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESTEVES | ||||||||
| FirstName: | JOSE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8400 NW 33RD ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | DORAL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331221937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8446654827 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3617 W HILLSBOROUGH AVE | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336145713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8446654827 | ||||||||
| FaxNumber: | 8557852883 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2008 | ||||||||
| LastUpdateDate: | 01/30/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME102213 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1068037 | 01 | FL | CAREPLUS-PASADENA AVE S | OTHER | P00662868 | 01 | FL | MEDICARE-RAILROAD | OTHER | 01221233 | 01 | FL | AMERIGROUP | OTHER | 2940167 | 01 | FL | UNITED HEALTH CARE-MEDICARE AND COMMERCIAL | OTHER | 000255300 | 01 | FL | MEDIPASS | OTHER | 2387468 | 01 | FL | CIGNA | OTHER | PCP1578 | 01 | FL | QUALITY HEALTH PLANS-49TH STREET | OTHER | PCP1579 | 01 | FL | QUALITY HEALTH PLANS-PASADENA | OTHER | 1069034 | 01 | FL | CAREPLUS 49TH STREET | OTHER | 1900283 | 01 | FL | AETNA-HMO | OTHER | 33322503 | 01 | FL | CITRUS-WEST BAY | OTHER | P106943 | 01 | FL | FREEDOM HEALTH | OTHER | TAX ID | 01 | FL | AVALON | OTHER | 1068137 | 01 | FL | CAREPLUS-WEST BAY | OTHER | 33322502 | 01 | FL | CITRUS-49TH STREET N | OTHER | 52956 | 01 | FL | BLUE CROSS BLUE SHEILD OF FLORIDA | OTHER | 201266825 | 01 | FL | BEECH STREET | OTHER | 324802 | 01 | FL | AVMED | OTHER | 33322501 | 01 | FL | CITRUS-PASADENA | OTHER | 9499186 | 01 | FL | AETNA | OTHER | PCP1580 | 01 | FL | QUALITY HEALTH PLANS-LARGO | OTHER | 000255300 | 05 | FL | MEDICAID | 0418840 | 01 | FL | UNITED HEALTH CARE-MEDICAID | OTHER | 201266825 | 01 | FL | TRICARE-ALL LOCATIONS | OTHER | PCP1581 | 01 | FL | QUALITY HEALTH PLANS-ICOT | OTHER |