Active NPI
Juan a. Estigarribia M.D. PC.
- Medical Specialty Clinic/Center
- Dearborn, MI
National Provider Identifier
1760651012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- JE038833
- Legal business name
- JUAN A. ESTIGARRIBIA M.D. PC.
- Practice address
- 23550 Park St Ste 201
Dearborn, MI 48124-2592 - Phone
- (313) 277-0075
- Fax
- (313) 277-8029
- NPI assigned
- Feb 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Angel Estigarribia, MD.
- Title
- President
- Phone
- (313) 277-0075
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | JE038833 | MI | Primary |
Addresses
Primary practice location
23550 Park St Ste 201
Dearborn, MI 48124-2592
Mailing address
23550 Park St Ste 201
Dearborn, MI 48124-2592
Phone (313) 277-0075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120269 | Medicaid | MI | |
| 0823594 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Dearborn, MI
- NPI 1336111517
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1336146828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1760651012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23550 PARK ST STE 201",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242592",
"telephone_number": "313-277-0075",
"fax_number": "313-277-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23550 PARK ST STE 201",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242592",
"telephone_number": "313-277-0075",
"fax_number": "313-277-8029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN A. ESTIGARRIBIA M.D. PC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "ESTIGARRIBIA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "ANGEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-277-0075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MI",
"license": "JE038833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2120269",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0823594",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.