Martinez Estrada, Juan

Martinez Estrada, Juan is an sole proprietor health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Martinez Estrada, Juan can be contacted via phone (412) 512-5648.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (412) 512-5648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD034160E Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD034160E Pennsylvania

Profile Details

NPI number 1265400493
LBN Legal business name Martinez Estrada, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Apr 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265400493 NPPES
Pennsylvania MEDICAID 001484580

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