Provider Demographics
NPI:1518841022
Name:PEREIRA ESTRADA, OMAYRA (MD)
Entity type:Individual
Prefix:DR
First Name:OMAYRA
Middle Name:
Last Name:PEREIRA ESTRADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25129
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-5129
Mailing Address - Country:US
Mailing Address - Phone:787-429-4407
Mailing Address - Fax:
Practice Address - Street 1:112 CALLE ARZUAGA STE 605
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3316
Practice Address - Country:US
Practice Address - Phone:787-429-4407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24602208D00000X
PR024602208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice