Provider Demographics
NPI:1336858745
Name:HERRERA TORRES, DANAY
Entity Type:Individual
Prefix:
First Name:DANAY
Middle Name:
Last Name:HERRERA TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 SW 153RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4723
Mailing Address - Country:US
Mailing Address - Phone:305-572-8054
Mailing Address - Fax:
Practice Address - Street 1:3530 SW 153RD AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4723
Practice Address - Country:US
Practice Address - Phone:305-572-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL853287812Medicaid