Individual
JORGE L HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 S UNIVERSITY BLVD, UCOM 6000 B, MOBILE, AL 36688-0002
(251) 660-5555
(251) 660-5559
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 660-5555
(251) 660-5559
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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