Individual
DR. MARIO J HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
52 AVE BALDORIOTY W, CAYEY, PR 00736-3837
(787) 738-8955
Mailing address
PO BOX 30132, SAN JUAN, PR 00929-1132
(939) 969-1255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2648
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4350966
DRIVER LICENCE
PR
Enumeration date
05/01/2007
Last updated
01/27/2009
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