| Edwin Herrera Md Pa | |
|
431 Sw 87th Ct Miami FL 33174-2433 | |
| (305) 978-1486 | |
| (786) 618-9583 |
| Full Name | Edwin Herrera Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 431 Sw 87th Ct, Miami, Florida |
| Authorized Official Name and Position | Edwin Herrera (OWNER / PRESIDENT) |
| Authorized Official Contact | 3059781486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Herrera Md Pa 431 S.w. 87 Court Miami FL 33174 Ph: (305) 978-1486 | Edwin Herrera Md Pa 431 Sw 87th Ct Miami FL 33174-2433 Ph: (305) 978-1486 |
| NPI Number | 1538504972 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 12/11/2013 |
| Medicare PECOS PAC ID | 6608015417 |
|---|---|
| Medicare Enrollment ID | O20130626000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538504972 | NPI | - | NPPES |
| 273299800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME72391 (Florida) | Primary |
| Provider Name | Edwin A Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295774867 PECOS PAC ID: 1254397235 Enrollment ID: I20041202000270 |
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