Individual provider Active NPI

Valentin Estrada, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1649325952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME96866 Issued in FL
Practice address
3641 SW 129TH Ave
Miami, FL 33175-2815
Phone
(305) 227-8540
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

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
Family Medicine Physician 207Q00000X ME96866 FL Primary

Addresses

Primary practice location

3641 SW 129TH Ave
Miami, FL 33175-2815

Mailing address

3641 SW 129TH Ave
Miami, FL 33175-2815
Phone (305) 227-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071210000424 FL Practitioner - Family Practice 3274576889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12260 SW 8TH St
Suite 120
Miami, FL 33184-1544
Phone (786) 360-6057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valentin Estrada M.D P.a CurrentSince Nov 7, 2010 Accepting new patients
Megatesting Inc PastSince Jul 16, 2012 Accepting new patients
Ruben J Ayala MD. PA PastSince Aug 18, 2005 Accepting new patients
Juan Miguel Fernandez MD PA Past Accepting new patients

Locations

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649325952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 SW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752815",
            "telephone_number": "305-227-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 SW 129TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752815",
            "telephone_number": "305-227-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "VALENTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.