Individual
DR. MANUEL HERRERO GRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
287 AVE WINSTON CHURCHILL, EL SENORIAL, SAN JUAN, PR 00926-6604
(787) 210-2986
(787) 760-9638
Mailing address
287 AVE WINSTON CHURCHILL, EL SENORIAL, SAN JUAN, PR 00926-6604
(787) 760-9638
(787) 760-9689
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12096
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500462E
MMM
PR
01
—
5487
PREFER MEDICAL CHOICE
PR
01
—
88017
TRIPLE S
PR
01
—
9042
FIRST MEDICAL
PR
Enumeration date
08/17/2006
Last updated
12/17/2009
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