DR. JUAN DIEGO ESTRADA (NPI# 1609078286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609078286 |
| Entity Type | Individual |
| Full Name | DR. JUAN DIEGO ESTRADA |
| Credential | M.D |
| Practice Address |
8750 Nw 21st Ter Doral FL 33172-2409 |
| Mailing Address |
8400 Nw 33rd St Suite 100 Doral FL 33122-1937 |
| Practice Telephone | 3059217619 |
| Practice Fax Number | 3059217355 |
| Mailing Telephone | 3059217619 |
| Mailing Fax Number | 3059217355 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME106081 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD434575 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 045467 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002670300 | 05 | |
| PA | 1021894520001 | 05 | |
| PA | KEYSTONE MERCY HEALTH PLAN | 30068078 | 01 |
| PA | HIGHMARK BLUE SHIELD | 2088879 | 01 |
| PA | 1021894520003 | 05 | |
| PA | 1021894520002 | 05 | |
| PA | INDEPENDENCE | 3723949000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679604854 | Juan J Estrada | Family Medicine | San Juan Bautista Regional Hospital, Caguas, PR 00725 | 2007-03-08 |
| 1871028878 | Juan Pablo Estrada | Student in an Organized Health Care Education/Training Program | 677 Church St Ne, Wellstar Kennestone Regional Medical Center Gme Office, Marietta, GA 30060-1101 | 2017-04-27 |
| 1790231694 | Juan Carlos Estrada | Nurse Practitioner | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2016-08-30 |
| 1780130864 | Juan Eduardo Estrada | Pharmacist | 1290 W 68th St, Hialeah, FL 33014-4524 | 2016-08-29 |
| 1811274152 | Juan Fernando Estrada | Case Manager/Care Coordinator | 5275 Market St, Suite # E, San Diego, CA 92114-2212 | 2011-11-15 |
| 1255455804 | Juan Angel Estrada | Counselor | 1270 Natividad Rd, Room 200, Salinas, CA 93906-3122 | 2007-03-19 |
| 1598833808 | Juan Carlos Estrada | Internal Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2006-12-04 |
| 1689699183 | Juan P. Estrada | Pediatrics | 2650 S Bristol St, Ste. 101-103, Santa Ana, CA 92704-5751 | 2006-07-13 |
| Street Address |
8750 NW 21ST TER |
| City | DORAL |
| State | FL |
| Zip Code | 33172-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073992137 | Guidewell Sanitas I, LLC | Clinic/Center | 8750 Nw 21st Ter, Doral, FL 33172-2409 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966875 | Radiomedica Services Corp. | Internal Medicine | 11183 Nw 73rd Ter, Doral, FL 33178-2862 | 2018-06-20 |
| 1871038588 | Dok Wellness, Pllc | Internal Medicine | 10710 Nw 66th St, Apt. 201, Doral, FL 33178-4555 | 2017-01-04 |
| 1194173831 | Daniela Maria Dicenso | Internal Medicine | 11156 Nw 79th Ln, Doral, FL 33178-6012 | 2016-06-02 |
| 1932562543 | Ponce Medical | Internal Medicine | 8100 Nw 53rd St, 260, Doral, FL 33166-4796 | 2016-03-31 |
| 1528421559 | Marlena Caridad Fernandez | Internal Medicine | 2301 Nw 87th Ave Ste 502, Doral, FL 33172-2411 | 2016-03-29 |
| 1174981245 | Lenus Research & Medical Group | Internal Medicine | 1414 Nw 107th Ave Ste 214, Doral, FL 33172-2741 | 2016-02-04 |
| 1750784641 | Svmcmed.llc | Internal Medicine | 3900 Nw 79th Ave Ste 652, Doral, FL 33166-6550 | 2014-10-06 |
| 1487083002 | Galeno South, Inc | Internal Medicine | 3900 Nw 79th Ave Ste 592, Doral, FL 33166-6570 | 2013-11-04 |
| 1932537404 | Pando Health Group Inc | Internal Medicine | 8051 Nw 36th St Ste 600b1, Doral, FL 33166-6626 | 2013-10-21 |
| 1538595913 | Shashi Razdan | Internal Medicine | 9418 Nw 54th Doral Circle Ln, Doral, FL 33178-2048 | 2013-09-17 |
| Find all providers in DORAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.