Organization Active NPI

Valentin Estrada M.D P.a

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1104123454
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME96866 Issued in FL
Legal business name
VALENTIN ESTRADA M.D P.A
Practice address
12260 SW 8TH St
Suite 120
Miami, FL 33184-1551
Phone
(786) 360-6057
Fax
(786) 360-6115
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Dr. Valentin Estrada, M.DNPI 1649325952
Title
Owner
Phone
(786) 360-6057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME96866 FL Primary

Addresses

Primary practice location

12260 SW 8TH St
Suite 120
Miami, FL 33184-1551

Mailing address

12260 SW 8 Street
Suite 120
Miami, FL 33184-1551
Phone (786) 360-6057

Other identifiers 1

IdentifierTypeStateIssuer
277863700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110713000602 FL Part B Supplier - Clinic/Group Practice 8527236710 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

12260 SW 8th St
Ste 120
Miami, FL 33184
Phone (305) 485-4494

14586 SW 8th St
Miami, FL 33184
Phone (305) 221-8780

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1104123454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12260 SW 8 STREET",
            "address_2": "SUITE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841551",
            "telephone_number": "786-360-6057",
            "fax_number": "786-360-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 SW 8TH ST",
            "address_2": "SUITE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841551",
            "telephone_number": "786-360-6057",
            "fax_number": "786-360-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTIN ESTRADA M.D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-360-6057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME96866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277863700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.