Look up the most recent NPI and PECOS records

Miguel Rodrigo Cruz Estrera

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095-8344

PECOS Enrollment

This provider is enrolled in PECOS as MIGUEL RODRIGO ESTRERA.

Based on the most recent information from CMS, provider Miguel Rodrigo Cruz Estrera 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 today at 11:47 AM.

Profile Details

Provider ID
1134980923
Provider Type
Individual
Full Name
Estrera, Miguel Rodrigo Cruz
Credential
AGACNP-BC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/18/2024
Last Updated
2/3/2025

Contact Information

Practice Location

200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095-8344

(310) 206-6688

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95028649 California
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95028649 California

Miguel Rodrigo Cruz Estrera

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Fong, Nanette Caballes

Kanlilar-Ruiz, Basak Julia

Orozco Santana, Emmanuel

Lee, Soo-Min S

Baluran, Jonathan Delgado

Delfin, Merdie Kristine

Ito, Chiharu

Lewis, Marisa P

Shin, Valerie Soojung

Bantugan, Leonora B