Individual provider · Type 1 NPI

Ruben Estrada Madrid, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1174950596 Active

Practice location

80 Seymour St., Hartford Hospital Emergency Medicine
Hartford, CT 06102-5037

Call (860) 972-0000 Map

Mailing address

80 Seymour St, Hartford Hospital Emergency Medicine
Hartford, CT 06102-5037

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X003305 (CT)
Medical Physician Assistant 363AM0700X016841 (NY)
Medical Physician Assistant Primary 363AM0700X003305 (CT)
Surgical Physician Assistant 363AS0400X003305 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1174950596

Ruben Estrada Madrid, PA-C's National Provider Identifier is 1174950596, issued on Sep 30, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Apr 29, 2015.