Individual
DR. TULIO Q ESTRADA-QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
428 S MAIN ST, GREENVILLE, PA 16125-1748
(724) 588-9830
(724) 588-9860
Mailing address
428 SOUTH MAIN STREET, GREENVILLE, PA 16125
(724) 588-9830
(724) 588-9860
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD053235L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015135010004
—
PA
01
—
110123509
RR MEDICARE
PA
Enumeration date
01/04/2006
Last updated
02/09/2017
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