Doctor Name: | JAIRO ESTRADA |
NPI Number: | 1013315126 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PTA22596 |
Business Practice Address: | 1137 Lancer Ln Tarpon Springs, FL - 346898034 |
Business Phone Number: | 7276575194 |
Business Fax Number: | |
Mailing Address: | 1137 Lancer Ln, TARPON SPRINGS |
State: | FL |
Postal Code: | 346898034 |
Phone Number: | 7276575194 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2014 |
NPI Last Update Date: | 12/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | PTA22596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |