Jorge a Herrera PHD PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY3733 Issued in FL

Legal business name

JORGE A HERRERA PHD PA

Practice address

1378 Coral Way
Suite 500
Miami, FL 33145-2943

Phone

(305) 445-3222

Fax

(305) 529-8510

NPI assigned

May 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jorge A Herrera, PH.D.

Title

Director

Phone

(305) 445-3222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• HealthSun Health Plans Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043424559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142064",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331142064",
            "telephone_number": "786-314-5644",
            "fax_number": "786-314-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 CORAL WAY",
            "address_2": "SUITE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452943",
            "telephone_number": "305-445-3222",
            "fax_number": "305-529-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A HERRERA PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-445-3222",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY3733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FL",
            "identifier": "75780",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Jordan
• Tamara Jordan, DO
• Taylor Jordan, CAA
• Jordyco Diagnostics LLC
• Jorge a Fernandez-Sanchez, MD, PA
• Jorge a. Rodriguez, P.L.
• Jorge Acevedo Crespo MD PA
• Yorkis Damian Jorge Avila
• Dayana Jorge Barrios
• Jorge Betancourt, M.D., PA

• Clinical Neuropsychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.