Individual provider Active NPI

Grethell Estrada, A.R.N.P, F.N.P.-B.C.

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1750825543
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9328788 Issued in FL
Practice address
7900 NW 27TH Ave Unit D-10
Miami, FL 33147-4909
Phone
(305) 403-4003
Fax
(305) 403-4006
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9328788 FL Primary

Addresses

Primary practice location

7900 NW 27TH Ave Unit D-10
Miami, FL 33147-4909

Mailing address

7900 NW 27TH Ave Unit D-10
Miami, FL 33147-4909
Phone (305) 403-4003

Other identifiers 1

IdentifierTypeStateIssuer
019690300MedicaidFL

Other names 1

  • Grethell Estrada Folgar Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927001963 FL Practitioner - Nurse Practitioner 4082988274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9328788FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical & Research Center LLC CurrentSince Aug 15, 2022 Accepting new patients

Locations

150 NW 70th Ave
Ste 10
Plantation, FL 33317
Phone (954) 368-3529

Organizations & group practices 1

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1750825543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NW 27TH AVE UNIT D-10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331474909",
            "telephone_number": "305-403-4003",
            "fax_number": "305-403-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 27TH AVE UNIT D-10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331474909",
            "telephone_number": "305-403-4003",
            "fax_number": "305-403-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "GRETHELL",
        "credential": "A.R.N.P, F.N.P.-B.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9328788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019690300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETHELL",
            "last_name": "ESTRADA FOLGAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.