Estrada Medical Center Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ESTRADA MEDICAL CENTER INC

Practice address

11117 W Okeechobee Rd Ste 104
Hialeah Gardens, FL 33018-4200

Phone

(954) 470-0347

NPI assigned

Mar 6, 2021

Organization subpart

No

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

Authorized official

Name

Evelio Varany Estrada Molina, APRN

Title

President

Phone

(954) 470-0347

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1447845995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD STE 104",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD STE 104",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184200",
            "telephone_number": "954-470-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRADA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "ESTRADA MOLINA",
        "authorized_official_first_name": "EVELIO",
        "authorized_official_middle_name": "VARANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-470-0347",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo J. Espinosa, D.M.D.
• Emily Isabel Espinoza
• Katya Espinoza, RPH
• Marlon F Espinoza
• Tamara Maria Esquijarosa, ARNP
• Evelio Varany Estrada Molina, APRN, CBHCM-S
• Eternal Beauty Spa LLC
• Excellence Family Services
• Excellent Group Services Inc
• Express Medical Suplies and Services Corp

• Primary Care Clinic/Center in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.