Healthcare Provider Details

I. General information

NPI: 1962475111
Provider Name (Legal Business Name): OSCAR F HERRERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: OSCAR F HERRERA MORILLO

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 NW 7TH ST.
MIAMI FL
33126-5504
US

IV. Provider business mailing address

1825 PONCE DE LEON BLVD. SUITE 443
CORAL GABLES FL
33134-4418
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-1133
  • Fax: 305-514-0076
Mailing address:
  • Phone: 305-854-1133
  • Fax: 305-514-0076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0090565
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME90565
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: