MEDICARE: VICTORIA SOFIA HERRERA

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	374J00000X	Doula

General Provider Information

NPI Number	:	1710813415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA SOFIA HERRERA

Provider Business Mailing Address
First Line	:	1118 PUTNAM AVE APT 1B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-8294
Country	:	US
Telephone Number	:	407-921-3111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1118 PUTNAM AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-4848
Country	:	US
Telephone Number	:	407-921-3111
Fax Number	:

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

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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Directions to “ VICTORIA SOFIA HERRERA ” Practice Location

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