Doctor Name: | HUMBERTO HERRERA CESPEDES |
NPI Number: | 1053375501 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 10270 |
Business Practice Address: | Gp8 Ave Roberto Sanchez Vilella Country Club Carolina, PR - 009822677 |
Business Phone Number: | 7872761743 |
Business Fax Number: | 7872831356 |
Mailing Address: | Po Box 8908, Plaza Carolina Station, CAROLINA |
State: | PR |
Postal Code: | 009888908 |
Phone Number: | 7872761743 |
Fax Number: | 7872831356 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 04/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |