# VICTOR L. HERRERA, D.P.M., P.A

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VICTOR L. HERRERA, D.P.M., P.A
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275892309
- **Legal business name:** VICTOR L. HERRERA, D.P.M., P.A
- **Authorized official:** VICTOR HERRERA (OWNER)
- **Authorized official phone:** (305) 773-5096

## Contact information

- **Practice address:** 4980 PALM AVE, HIALEAH, FL 33012-3726
- **Practice address phone:** (305) 512-0080
- **Practice address fax:** (305) 512-0082
- **Mailing address:** 4980 PALM AVE, HIALEAH, FL 33012-3726
- **Mailing address phone:** (305) 512-0080
- **Mailing address fax:** (305) 512-0082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | PO3517 | FL | — |
| 261QM2500X | Medical Specialty Clinic/Center | PO3517 | FL | Yes |
| 261QR0200X | Radiology Clinic/Center | PO3517 | FL | — |

## Other

- **Enumeration date:** 05/09/2012
- **Last updated:** 05/09/2012