Provider Demographics
NPI:1528189677
Name:HERRANS, NITZA (PT)
Entity Type:Individual
Prefix:MRS
First Name:NITZA
Middle Name:
Last Name:HERRANS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 AND 16 STREET PASEOS REALES
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-1282
Mailing Address - Country:US
Mailing Address - Phone:787-486-2460
Mailing Address - Fax:
Practice Address - Street 1:83 TIMOTEO SALAS QUINTERO
Practice Address - Street 2:SAN PEDRO PUEBLO
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00951-0245
Practice Address - Country:US
Practice Address - Phone:787-486-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00823282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access