Healthcare Provider Details

I. General information

NPI: 1710813415
Provider Name (Legal Business Name): VICTORIA SOFIA HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 PUTNAM AVE
BROOKLYN NY
11221-4848
US

IV. Provider business mailing address

1118 PUTNAM AVE APT 1B
BROOKLYN NY
11221-8294
US

V. Phone/Fax

Practice location:
  • Phone: 407-921-3111
  • Fax:
Mailing address:
  • Phone: 407-921-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: