Johnny F Estrellado, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K3175 Issued in TX

Practice address

802 E University Dr Ste B
Edinburg, TX 78539-3632

Phone

(956) 287-7500

Fax

(956) 287-0121

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Johnny F Estrellado Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306950837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E UNIVERSITY DR STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393632",
            "telephone_number": "956-287-7500",
            "fax_number": "956-287-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E UNIVERSITY DR STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393632",
            "telephone_number": "956-287-7500",
            "fax_number": "956-287-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLADO",
        "first_name": "JOHNNY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K3175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "ESTRELLADO",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatrics Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Pediatrics Physician in Texas

• 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.