Active NPI
Gretchen Estrada, MD
- Student in an Organized Health Care Education/Training Program
- Pembroke Pines, FL
National Provider Identifier
1841807815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Memorial Healthcare System
7800 Sheridan St
Pembroke Pines, FL 33024-2536 - Phone
- (195) 496-2965
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Memorial Healthcare System
7800 Sheridan St
Pembroke Pines, FL 33024-2536
Mailing address
Urb Sagrado Corazon
1755 Calle Santa Praxedes
San Juan, PR 00926
Phone (787) 639-3721
Other practice location 1
Ave. Laurel, Urb. Santa Juanita
Bayamon, PR 00960
Phone (787) 787-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22665 | Other | PR | MEDICAL LICENSE NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521000578 | FL | Order and Referring Only - Infectious Disease | 5193243384 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1841807815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB SAGRADO CORAZON",
"address_2": "1755 CALLE SANTA PRAXEDES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-639-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEMORIAL HEALTHCARE SYSTEM",
"address_2": "7800 SHERIDAN ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242536",
"telephone_number": "195-496-2965"
}
],
"practiceLocations": [
{
"address_1": "Ave. Laurel, Urb. Santa Juanita",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "00960",
"country_code": "US",
"telephone_number": "787-787-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTRADA",
"first_name": "GRETCHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2025-04-22",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "22665",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.