Individual provider Active NPI

Javier Estrada

  • Home Modifications Contractor
  • Miami, FL
National Provider Identifier
1811307184
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
CGC1505221 Issued in FL
Practice address
8950 SW 74TH CT
Ste # 2201
Miami, FL 33156-3171
Phone
(305) 408-0770
Fax
(305) 382-3555
NPI assigned
May 7, 2014
Last updated
May 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X CGC1505221 FL Primary

Addresses

Primary practice location

8950 SW 74TH CT
Ste # 2201
Miami, FL 33156-3171

Mailing address

8950 SW 74TH CT
Ste # 2201
Miami, FL 33156-3171
Phone (305) 408-0770

Other identifiers 1

IdentifierTypeStateIssuer
690459900MedicaidFL

Other names 1

  • Millenium Contractors Professional name

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

State licenses

LicenseStateTypeSpecialty
CGC1505221FLMDHome Modifications Contractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1811307184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT",
            "address_2": "STE # 2201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563171",
            "telephone_number": "305-408-0770",
            "fax_number": "305-382-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT",
            "address_2": "STE # 2201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563171",
            "telephone_number": "305-408-0770",
            "fax_number": "305-382-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "CGC1505221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690459900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILLENIUM",
            "last_name": "CONTRACTORS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.