Individual
JANUARIO PURISIMA ESTRADA III
Active
Individual
JANUARIO PURISIMA ESTRADA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036074492
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021623344
BCBS PROVIDER ID
IL
05
—
036074492
—
IL
01
—
110196734
RAILROAD MEDICARE
IL
Enumeration date
08/01/2006
Last updated
08/20/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up