Provider Demographics
NPI:1821212580
Name:HERRERA, CESAR MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:MIGUEL
Last Name:HERRERA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 4189
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-4189
Mailing Address - Country:US
Mailing Address - Phone:954-363-9582
Mailing Address - Fax:954-363-9663
Practice Address - Street 1:672 SW PRIMA VISTA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1820
Practice Address - Country:US
Practice Address - Phone:772-905-2555
Practice Address - Fax:772-336-8153
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLACN661208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice