Provider Demographics
NPI:1134100670
Name:NAYOR, ESTELA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ESTELA
Middle Name:
Last Name:NAYOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 SW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7344
Mailing Address - Country:US
Mailing Address - Phone:786-422-6525
Mailing Address - Fax:786-422-6535
Practice Address - Street 1:2025 IXORA RD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2311
Practice Address - Country:US
Practice Address - Phone:786-422-6525
Practice Address - Fax:786-422-6535
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0057157208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063223600Medicaid
FL10277WMedicare ID - Type Unspecified
FL10277WMedicare UPIN