Active NPI
Edgar Jose Herrera, RN
- Administrator Registered Nurse
- Miami, FL
National Provider Identifier
1194417436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN9380152
- Practice address
- 8425 NW 41 St
Apartment 307
Miami, FL 33166 - Phone
- (305) 877-0221
- Fax
- (305) 964-5929
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN9380152 | FL | |
| Administrator Registered Nurse | 163WA2000X | RN9380152 | FL | Primary |
Addresses
Primary practice location
8425 NW 41 St
Apartment 307
Miami, FL 33166
Mailing address
8425 NW 41 St
Apt 307
Miami, FL 33166
Phone (305) 877-0221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9380152 | FL | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1194417436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8425 NW 41 ST",
"address_2": "APT 307",
"city": "MIAMI",
"state": "FL",
"postal_code": "33166",
"telephone_number": "305-877-0221",
"fax_number": "305-964-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8425 NW 41 ST",
"address_2": "APARTMENT 307",
"city": "MIAMI",
"state": "FL",
"postal_code": "33166",
"telephone_number": "305-877-0221",
"fax_number": "305-964-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "EDGAR",
"middle_name": "JOSE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN9380152",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Administrator",
"state": "FL",
"license": "RN9380152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.