Provider Demographics
NPI:1376746362
Name:HERRERA FIGUEIRA, DIEGO ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:DIEGO
Middle Name:ALBERTO
Last Name:HERRERA FIGUEIRA
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 1:236 E WESTFIELD AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204
Mailing Address - Country:US
Mailing Address - Phone:908-662-4949
Mailing Address - Fax:
Practice Address - Street 1:236 E WESTFIELD AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204
Practice Address - Country:US
Practice Address - Phone:908-662-4949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09370300207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine