MEDICARE: DR. VICTOR LUIS HERRERA D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	POD-001096	AZ
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO 3517	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043594062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR LUIS HERRERA D.P.M.

Provider Business Mailing Address
First Line	:	2540 WINKLER AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9338
Country	:	US
Telephone Number	:	239-278-4100
Fax Number	:	239-278-3907

Provider Business Practice Location Address
First Line	:	2540 WINKLER AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9338
Country	:	US
Telephone Number	:	239-278-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2011
Last Update Date	:	06/02/2026

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