Provider Demographics
NPI:1982909271
Name:ESTRADA, SAUL FELIPE (MD)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:FELIPE
Last Name:ESTRADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SAUL
Other - Middle Name:F
Other - Last Name:ESTRADA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:CARR 3 KM 8 3 AVE 65TH INFANTERIA BOX 6021
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-6021
Mailing Address - Country:US
Mailing Address - Phone:787-758-7825
Mailing Address - Fax:
Practice Address - Street 1:CARR. #3 KM. 8.3 AVE 65 INFANTERIA
Practice Address - Street 2:HOSPITAL FEDERICO TRILLA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-758-7825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18114207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine