Individual
GRECIA SOFIA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
52 CALLE ANTONIO LOPEZ S, HUMACAO, PR 00791-4206
(787) 602-9055
Mailing address
1234 FAN PALM DR, DAVENPORT, FL 33897-5738
(407) 766-3868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2674-P.A.
PR
Other
Enumeration date
08/07/2025
Last updated
08/18/2025
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