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Rosa M Estrada-Y-Martin

Internal Medicine

Allopathic & Osteopathic Physicians

6410 Fannin St, 600, Houston, TX 77030-3000

PECOS Enrollment

This provider is enrolled in PECOS as ROSA ESTRADA-Y-MARTIN.

Based on the most recent information from CMS, provider Rosa M Estrada-Y-Martin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1154354298
Provider Type
Individual
Full Name
Estrada-Y-Martin, Rosa M
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/9/2006
Last Updated
12/3/2007

Contact Information

Practice Location

6410 Fannin St, 600, Houston, TX 77030-3000

(832) 325-7222

Unlisted Fax

Mailing Location

PO Box 201088, Houston, TX 77216-1088

(713) 500-3500

(713) 512-2247

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License L0157 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License L0157 Texas

Provider Identifiers

ID	Description	Issuer
ID 8Z0736	Description Other	Issuer BCBS Texas

Rosa M Estrada-Y-Martin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

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License

Provider Identifiers

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Issuer

ID

Description

Issuer

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