Provider Demographics
NPI:1346230349
Name:HERRERO-TORRES, CARMELO (MD)
Entity Type:Individual
Prefix:MR
First Name:CARMELO
Middle Name:
Last Name:HERRERO-TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9120
Mailing Address - Street 2:FONT MARTELO 307
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-9120
Mailing Address - Country:US
Mailing Address - Phone:787-852-2820
Mailing Address - Fax:787-852-2820
Practice Address - Street 1:307 CALLE FONT MARTELO
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3204
Practice Address - Country:US
Practice Address - Phone:787-852-2820
Practice Address - Fax:787-852-2820
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3743207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C77251Medicare UPIN
24679Medicare ID - Type Unspecified