Individual provider Active NPI

Sonia Estruch, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Perry Point, MD
National Provider Identifier
1013012376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0001572 Issued in MD
Practice address
Perry Point VA Medical Center
Perry Point
Perry Point, MD 21902
Phone
(410) 642-1141
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0001572 MD Primary

Addresses

Primary practice location

Perry Point VA Medical Center
Perry Point
Perry Point, MD 21902

Mailing address

1319 Providence Rd
Baltimore, MD 21286-1564
Phone (410) 821-0548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0001572MDMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013012376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PROVIDENCE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212861564",
            "telephone_number": "410-821-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PERRY POINT VA MEDICAL CENTER",
            "address_2": "PERRY POINT",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRUCH",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0001572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Point, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.