| Jorge A Herrera Phd Pa | |
|
1378 Coral Way Suite 500 Miami FL 33145-2943 | |
| (305) 445-3222 | |
| (305) 529-8510 |
| Full Name | Jorge A Herrera Phd Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1378 Coral Way, Miami, Florida |
| Authorized Official Name and Position | Jorge A Herrera (DIRECTOR) |
| Authorized Official Contact | 3054453222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge A Herrera Phd Pa Po Box 142064 Coral Gables FL 33114-2064 Ph: (786) 314-5644 | Jorge A Herrera Phd Pa 1378 Coral Way Suite 500 Miami FL 33145-2943 Ph: (305) 445-3222 |
| NPI Number | 1043424559 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4789777046 |
|---|---|
| Medicare Enrollment ID | O20070904000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043424559 | NPI | - | NPPES |
| 75780 | Other | FL | BC BS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY3733 (Florida) | Primary |
| Provider Name | Jorge A Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568544971 PECOS PAC ID: 9234222597 Enrollment ID: I20070904000199 |
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