| Doctor Name: | HERIBERTO BORRERO |
| NPI Number: | 1255460150 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 12143 |
| Business Practice Address: | Munoz Rivera Esq. Santiago Iglesias Juana Diaz, PR - 00795 |
| Business Phone Number: | 7872600339 |
| Business Fax Number: | 7872606147 |
| Mailing Address: | Bo. Los Pollos Carr.787 Km.0, P.o. B0x 965 PATILLAS |
| State: | PR |
| Postal Code: | 00723 |
| Phone Number: | 7878390228 |
| Fax Number: | 7872606147 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12143 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |