# GUIDEWELL SANITAS I, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073992137
- **Authorized official:** JUAN DIEGO ESTRADA MD (CEO)
- **Authorized official phone:** (786) 882-2869

## Contact information

- **Practice address:** 8750 NW 21ST TER, DORAL, FL 33172-2409
- **Practice address phone:** (305) 921-7621
- **Practice address fax:** (305) 921-7355
- **Mailing address:** 8400 NW 33RD ST STE 201, DORAL, FL 33122-1937
- **Mailing address phone:** (786) 882-2869
- **Mailing address fax:** (305) 921-7355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 02/06/2024