Provider Demographics
NPI:1851357479
Name:HERRERA, ISABEL C (ARNP)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:C
Last Name:HERRERA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 NW 12TH AVE
Mailing Address - Street 2:SUITE 3510
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1002
Mailing Address - Country:US
Mailing Address - Phone:305-243-8360
Mailing Address - Fax:305-243-9136
Practice Address - Street 1:1475 NW 12TH AVE
Practice Address - Street 2:SUITE 3400
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-8360
Practice Address - Fax:305-243-9136
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3265362363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3070824-00Medicaid
FL3070824-00Medicaid