MEDICARE: DR. CARMEN MILITZA HERRERA MD

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	2080N0001X	Neonatal-Perinatal Medicine Physician	ME178463	FL
2	2080N0001X	Neonatal-Perinatal Medicine Physician	MD 2013-0073	NM
3	208000000X	Pediatrics Physician	MD 2013-0073	NM
4	2080N0001X	Neonatal-Perinatal Medicine Physician	A 73067	CA
5	2080N0001X	Neonatal-Perinatal Medicine Physician	MD00046358	WA
6	2080N0001X	Neonatal-Perinatal Medicine Physician	68518	AZ

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265489413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARMEN MILITZA HERRERA MD

Provider Business Mailing Address
First Line	:	1210 S OLD DIXIE HWY
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7205
Country	:	US
Telephone Number	:	561-263-4483
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 S OLD DIXIE HWY
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7205
Country	:	US
Telephone Number	:	561-263-4483
Fax Number	:

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	02/05/2026

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