| Jolanta A Herrera Md Pllc | |
|
3236a Boulevard Colonial Heights VA 23834-1456 | |
| (804) 526-7990 | |
| (804) 526-7905 |
| Full Name | Jolanta A Herrera Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3236a Boulevard, Colonial Heights, Virginia |
| Authorized Official Name and Position | Santiago E Herrera (OFFICE MANAGER) |
| Authorized Official Contact | 8045267990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jolanta A Herrera Md Pllc 3236a Boulevard Colonial Heights VA 23834-1456 Ph: (804) 526-7990 | Jolanta A Herrera Md Pllc 3236a Boulevard Colonial Heights VA 23834-1456 Ph: (804) 526-7990 |
| NPI Number | 1558334615 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 10/17/2007 |
| Medicare PECOS PAC ID | 5092766709 |
|---|---|
| Medicare Enrollment ID | O20050209000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558334615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101230277 (Virginia) | Primary |
| Provider Name | Jolanta A Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053418434 PECOS PAC ID: 7719938422 Enrollment ID: I20050209000837 |
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