Organization
JORGE A HERRERA PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A HERRERA PH.D. (DIRECTOR)
(305) 445-3222
Entity
Organization
Contact information
Practice address
1378 CORAL WAY, SUITE 500, MIAMI, FL 33145-2943
(305) 445-3222
(305) 529-8510
Mailing address
PO BOX 142064, CORAL GABLES, FL 33114-2064
(786) 314-5644
(786) 314-5677
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY3733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75780
BC BS FL
FL
Enumeration date
05/10/2007
Last updated
08/22/2020
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