Dr. Mario J Herrera, dmd
Dentist in Cayey, PR. Individual provider (NPI-1).
NPI number1013138973
StatusActive
Last updated in NPPESJan 27, 2009
Details
- NPI
- 1013138973
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mario J Herrera
- Credential
- dmd
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2007
- Last updated
- Jan 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2648 | PR | Yes |
Practice location
52 Ave Baldorioty WCayey, PR 00736-3837
Phone 787-738-8955
Mailing address
Po Box 30132San Juan, PR 00929-1132
Phone 939-969-1255
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