Individual
BENJAMIN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CENTER STREET, STE 1S, MOBILE, AL 36604-3207
(251) 410-5437
(251) 434-3852
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 410-5437
(251) 434-3852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
16964
AL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
16964
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000088154
—
AL
05
—
00111730
—
MS
01
—
12-10131
UNITED HEALTH CARE
AL
05
—
1991635
—
LA
05
—
255604900
—
FL
01
—
51088154
BLUE CROSS
AL
01
—
51504520
BCBS KPG
AL
Enumeration date
05/20/2006
Last updated
03/02/2017
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