Provider Demographics
NPI:1821311697
Name:ESTRADA, MARIA M (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:M
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:M
Other - Last Name:ESTADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:11255 SW 211 STREET
Mailing Address - Street 2:AMERICAN CARE OF TAMPA, INC.
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2240
Mailing Address - Country:US
Mailing Address - Phone:305-278-0200
Mailing Address - Fax:786-235-0145
Practice Address - Street 1:11211 NO. NEBRASKA AVENUE, SUITE A-5
Practice Address - Street 2:AMERICAN CARE OF TAMPA, INC.
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5777
Practice Address - Country:US
Practice Address - Phone:813-514-2333
Practice Address - Fax:813-514-2216
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9228917163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9228917OtherARNP9228917