Doctor Name: | MRS. MARIA HERRERA |
NPI Number: | 1235508698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 192434 |
Business Practice Address: | 12179 Nw 83rd Place Parkland, FL - 33076 |
Business Phone Number: | 9546090443 |
Business Fax Number: | |
Mailing Address: | 12179 Nw 83rd Place, PARKLAND |
State: | FL |
Postal Code: | 33076 |
Phone Number: | 9546090443 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471V0105X |
License Number: | 192434 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Vascular Sonography |
Taxonomy Definition: |