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NPI Code Detail

MEDICARE: DR. JOSE ANTONIO HERRERA M.D.

MEDICARE: DR. JOSE ANTONIO HERRERA M.D.
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
1208D00000XGeneral Practice Physician15966PR

General Provider Information

NPI Number : 1245292614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE ANTONIO HERRERA M.D.
Provider Business Mailing Address
First Line : 1771 CALLE ANDROMEDA
Second Line : URB VENUS GARDENS
City : SAN JUAN
State : PR
Zip : 00926-4922
Country : US
Telephone Number : 787-748-1749
Fax Number : 787-777-3702
Provider Business Practice Location Address
First Line : BO. MONACILLOS CARR. 22
Second Line : PASEO DR. CELSO BARBOSA
City : SAN JUAN
State : PR
Zip : 00935-0001
Country : US
Telephone Number : 787-777-3535
Fax Number : 787-777-3702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 07/08/2007

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