Individual
CARLOS ALBERTO HERRERA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BARRIO MONACILLOS, SAN JUAN, PR 00935-0001
(787) 777-3535
Mailing address
URB. VILLA NEVAREZ, CALLE3, #1107, SAN JUAN, PR 00927
(939) 456-5012
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
310-E
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7227490
DRIVER LICENSE
—
Enumeration date
09/14/2021
Last updated
09/14/2021
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