Organization
GUIDEWELL SANITAS I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN DIEGO ESTRADA MD (PRESIDENT)
(786) 882-2869
Entity
Organization
Contact information
Practice address
7153 SW 117TH AVE, MIAMI, FL 33183-2802
(305) 921-7621
(305) 921-7355
Mailing address
8400 NW 33RD ST STE 201, DORAL, FL 33122-1937
(786) 882-2869
(305) 921-7355
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
02/06/2024
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