Most Relevant Information
Provider Data
| NPI Number: | 1003367251 |
| Provider Name: | CARLOS ESTRADA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/21/2016 |
| Last Updated: | 05/13/2020 |
Provider Practice Location
13205 SW 137TH AVE STE 120
MIAMI
FL
331865334
Practice Location Phone/Fax
| Phone: | 7862276258 |
| Fax: | 7864291586 |
Provider Mailing Location
13205 SW 137TH AVE STE 120
MIAMI
FL
331865334
Provider Mailing Phone/Fax
| Phone: | 7862276258 |
| Fax: | 7864291586 |