Individual
ORLANDO R DEHERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1033 2ND AVE, MONTE VISTA, CO 81144-1737
(719) 852-8827
Mailing address
1033 2ND AVE, MONTE VISTA, CO 81144-1737
(719) 852-8827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR0035425
CO
207Q00000X
Family Medicine Physician
Primary
L1830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K5235
PROVIDER BCBS NUMBER
TX
01
—
8U8523
BCBS
TX
01
—
P00200133
RAILROAD PROVIDER NUMBER
TX
Enumeration date
12/19/2006
Last updated
03/06/2026
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