Individual
JORGE L HERRERA
Active
Individual
JORGE L HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14475
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000080733
—
AL
05
—
00121491
—
MS
05
—
255637500
—
FL
01
—
29-10130
UNITED HEALTH CARE
AL
01
—
51080733
BLUE CROSS
AL
Enumeration date
06/06/2006
Last updated
05/11/2015
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