Active NPIIndividual provider

Jairo Estrada

Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts

NPI Number1467206177
Practice location
63 Main St, Brockton, MA 02301
Fax
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Last updated
April 17, 2024

Jairo Estrada is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Jairo Estrada practices in Brockton, MA. The NPI Number for Jairo Estrada is 1467206177. The current practice location address for Jairo Estrada is 63 Main St, Brockton, MA 02301 and can be reached out via phone at 832-980-9319.

Provider Profile Details

NPI Number
1467206177
Provider Name
Jairo Estrada
Provider Entity Type
Individual
Gender
Male
Address
63 Main St, Brockton, MA 02301
Phone Number
832-980-9319
Sole Proprietor
No
Provider Enumeration Date
April 17, 2024
Last Update Date
April 17, 2024
Certification Date
April 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Main St
Brockton, MA 02301
Zip
02301
Phone Number
832-980-9319
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
108 Brookside Ave
Jamaica Plain, MA 02130-4895
City
Jamaica Plain
State
MA
Zip
02130-4895
Phone Number
832-980-9319

License Information

License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jairo Estrada?

The NPI number of Jairo Estrada is 1467206177. It was assigned on April 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Jairo Estrada?

Jairo Estrada is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Jairo Estrada practice?

The practice location is 63 Main St, Brockton, MA 02301. The office can be reached at 832-980-9319 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467206177 directly on the NPPES registry website.

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