Provider Demographics
NPI:1801269550
Name:MURATI HERRERA, REBECCA (OD)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:MURATI HERRERA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIF JOAQUIN MONTESINO
Mailing Address - Street 2:CALLE ISABEL II
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6314
Mailing Address - Country:US
Mailing Address - Phone:787-786-2000
Mailing Address - Fax:
Practice Address - Street 1:50 CALLE ISABEL II
Practice Address - Street 2:SUITE 106
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6355
Practice Address - Country:US
Practice Address - Phone:787-786-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR722152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist