Provider Demographics
NPI:1962475111
Name:HERRERA, OSCAR F (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:F
Last Name:HERRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:OSCAR
Other - Middle Name:F
Other - Last Name:HERRERA MORILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1825 PONCE DE LEON BLVD.
Mailing Address - Street 2:SUITE 443
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4418
Mailing Address - Country:US
Mailing Address - Phone:305-854-1133
Mailing Address - Fax:305-514-0076
Practice Address - Street 1:3901 NW 7TH ST.
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5504
Practice Address - Country:US
Practice Address - Phone:305-854-1133
Practice Address - Fax:305-514-0076
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90565207RI0200X
FLME0090565174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105241000Medicaid
FLI40994Medicare UPIN