Provider Demographics
NPI:1003683624
Name:HERCO MEDICAL AND RESEARCH CENTER, INC.
Entity Type:Organization
Organization Name:HERCO MEDICAL AND RESEARCH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ORESTES
Authorized Official - Middle Name:ADRIAN
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-838-5586
Mailing Address - Street 1:801 MONTEREY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2537
Mailing Address - Country:US
Mailing Address - Phone:786-838-5586
Mailing Address - Fax:786-536-5089
Practice Address - Street 1:801 MONTEREY ST STE 101
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2537
Practice Address - Country:US
Practice Address - Phone:786-838-5586
Practice Address - Fax:786-536-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care