Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Christian Manansala Estrellado, MD

Individual provider Family Medicine Physician · NPI 1336584457

Mark Christian Manansala Estrellado, MD is an Emergency Medicine in Bronx, New York. Graduated from State University of New York Downstate Medical Center in 2013, 13 years ago. Practices with Divinity Medical Services PLLC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Pelham Pkwy S Bldg 6//SUITE B125
Bronx, NY 10461-1138
Phone: (718) 918-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 288204 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 288204 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336584457
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2013
Last updated in NPPESJanuary 4, 2026
Certification dateJanuary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2013 (13 years in practice)
Group practice Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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