Provider Demographics
NPI:1033982392
Name:ARMANDO CARLOS ESTRADA
Entity Type:Organization
Organization Name:ARMANDO CARLOS ESTRADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-258-2381
Mailing Address - Street 1:929 E ESPERANZA AVE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1468
Mailing Address - Country:US
Mailing Address - Phone:956-800-4013
Mailing Address - Fax:
Practice Address - Street 1:929 E ESPERANZA AVE UNIT 5
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1468
Practice Address - Country:US
Practice Address - Phone:956-800-4013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies