Provider Demographics
NPI:1467787010
Name:HERRERA, DANIEL PATRICK
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PATRICK
Last Name:HERRERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 CARLTON RD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-5209
Mailing Address - Country:US
Mailing Address - Phone:575-650-6911
Mailing Address - Fax:
Practice Address - Street 1:305 CARLTON RD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-5209
Practice Address - Country:US
Practice Address - Phone:575-650-6911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management