Provider Demographics
NPI:1891377966
Name:HERRERA FIGUEROA, IRVIN ALEXIS
Entity Type:Individual
Prefix:
First Name:IRVIN
Middle Name:ALEXIS
Last Name:HERRERA FIGUEROA
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 1:670 GOODLETTE-FRANK RD N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5614
Mailing Address - Country:US
Mailing Address - Phone:239-316-7656
Mailing Address - Fax:239-331-2581
Practice Address - Street 1:670 GOODLETTE-FRANK RD N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5614
Practice Address - Country:US
Practice Address - Phone:239-316-7656
Practice Address - Fax:239-331-2581
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician