Provider Demographics
NPI:1801803671
Name:HERRERA, DANIEL J (RCS,CCT,RCVT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:HERRERA
Suffix:
Gender:M
Credentials:RCS,CCT,RCVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8205 SW 87TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4146
Mailing Address - Country:US
Mailing Address - Phone:786-487-7771
Mailing Address - Fax:305-222-6199
Practice Address - Street 1:8585 SUNSET DR
Practice Address - Street 2:SUITE 45
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3746
Practice Address - Country:US
Practice Address - Phone:786-487-7771
Practice Address - Fax:305-222-6199
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000006720246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE5803Medicare PIN