Healthcare Provider Details

I. General information

NPI: 1922912195
Provider Name (Legal Business Name): HERRERA CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 SW 148TH AVE STE 110
MIRAMAR FL
33027-3237
US

IV. Provider business mailing address

3350 SW 148TH AVE STE 110
MIRAMAR FL
33027-3237
US

V. Phone/Fax

Practice location:
  • Phone: 954-607-9749
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSE HERRERA GOMEZ
Title or Position: OWNER
Credential:
Phone: 786-236-5817