Jonathan Michael Estrada, is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Jonathan Michael Estrada is licensed to practice in * (Not Available) (license number ) and his current practice location is
151 Rutledge Ave Bldg A, Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 792-3328.
NPI number for Jonathan Michael Estrada is 1730979808 and his current mailing address is 151 Rutledge Ave Bldg A, Charleston, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730979808.
Provider's Profile
| Full Name | Jonathan Michael Estrada |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 151 Rutledge Ave Bldg A, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730979808
- Provider Enumeration Date: 05/10/2025
- Last Update Date: 05/10/2025
Medical Identifiers
Medical identifiers for Jonathan Michael Estrada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730979808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 259587 (South Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Michael Estrada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Michael Estrada,
151 Rutledge Ave Bldg A,
Charleston, SC 29425-8903
Ph: (843) 792-3328 | Jonathan Michael Estrada,
151 Rutledge Ave Bldg A,
Charleston, SC 29425-8903
Ph: (843) 792-3328 |
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