Doctor Name: | ALBERTO HERRADA |
NPI Number: | 1013906965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | PO02861 |
Business Practice Address: | 10600 Griffin Rd Suite 107 Davie, FL - 333283208 |
Business Phone Number: | 9544349877 |
Business Fax Number: | 9544349881 |
Mailing Address: | 10600 Griffin Rd, Suite 107a DAVIE |
State: | FL |
Postal Code: | 333283208 |
Phone Number: | 9544349877 |
Fax Number: | 9544349881 |
NPI Enumeration Date: | 10/13/2005 |
NPI Last Update Date: | 02/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO02861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |