OrganizationCarlos E EstradaDentistDental ProvidersPractice AddressBlvd Rodolfo Sanchez Taboada 10737 B3, Tijuana, Baja California 22010 (Mexico)(664) 905-9003(619) 409-2014PECOS EnrollmentBased on the most recent information from CMS, provider Carlos E Estrada does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1326755604Provider TypeOrganizationFull NameCarlos E EstradaSubpartNoEnumeration Date11/4/2022Last Updated11/4/2022Contact InformationPractice LocationPractice AddressBlvd Rodolfo Sanchez Taboada 10737 B3, Tijuana, Baja California 22010 (Mexico)Phone(664) 905-9003FaxUnlisted FaxMailing LocationMailing Address4630 Border Village Rd Ste 122, San Ysidro, CA 92173-3121Phone(619) 409-2014FaxUnlisted FaxAuthorized OfficialNameEstrada, Carlos E (Dentist)Phone(619) 409-2014Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer