Active NPI
Joel Estrada, M.T.
- Medical Technologist
- Carolina, PR
National Provider Identifier
1669638631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 3901
- Practice address
- Carretera 185 KM 12.6
Barrio Cedros
Carolina, PR 00985 - Phone
- (787) 776-2492
- NPI assigned
- Jul 30, 2008
- Last updated
- Jul 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 3901 | PR | Primary |
Addresses
Primary practice location
Carretera 185 KM 12.6
Barrio Cedros
Carolina, PR 00985
Mailing address
353 Camino Los Lirios
Urb Sabanera del Rio
Gurabo, PR 00778
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
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1097 | PR | MD | Nutrition Education Nutritionist |
| 3901 | PR | MD | Pharmacy Technician |
| 983 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milab LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Carolina, PR
- NPI 1205278090
-
dba Laboratorio Clinico Cedros
- Clinical Medical Laboratory
- Carolina, PR
- NPI 1811035959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1669638631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 CAMINO LOS LIRIOS",
"address_2": "URB SABANERA DEL RIO",
"city": "GURABO",
"state": "PR",
"postal_code": "00778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 185 KM 12.6",
"address_2": "BARRIO CEDROS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-776-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "JOEL",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "3901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.