# VALENTIN ESTRADA M.D P.A

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

## Provider details

- **NPI number:** 1104123454
- **Authorized official:** DR. VALENTIN ESTRADA M.D (OWNER)
- **Authorized official phone:** (786) 360-6057

## Contact information

- **Practice address:** 12260 SW 8TH ST, SUITE 120, MIAMI, FL 33184-1551
- **Practice address phone:** (786) 360-6057
- **Practice address fax:** (786) 360-6115
- **Mailing address:** 12260 SW 8 STREET, SUITE 120, MIAMI, FL 33184-1551
- **Mailing address phone:** (786) 360-6057
- **Mailing address fax:** (786) 360-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME96866 | FL | Yes |

## Other

- **Enumeration date:** 02/23/2011
- **Last updated:** 02/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 277863700 | — | FL |