Provider Demographics
NPI:1942732953
Name:GARCIA-ESTRADA, HERMINIO (MD)
Entity Type:Individual
Prefix:
First Name:HERMINIO
Middle Name:
Last Name:GARCIA-ESTRADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2972
Mailing Address - Country:US
Mailing Address - Phone:305-541-2655
Mailing Address - Fax:305-541-2667
Practice Address - Street 1:550 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2972
Practice Address - Country:US
Practice Address - Phone:305-632-2747
Practice Address - Fax:305-541-2667
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR021786207RN0300X, 207R00000X
PR34620208D00000X
390200000X
FLME160948207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine