Raul Alejandro Herrera Izquierdo Sr., , FNP-BC, CMGT-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

357751 Issued in NY

Practice address

1262 Boston Rd Ste 2
Bronx, NY 10456-3541

Phone

(718) 569-7929

NPI assigned

Aug 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bronx Integrative Care NP in Family Health PLLC

  • Case Manager/Care Coordinator
  • Bronx, NY
  • NPI 1568395093

  Family

  NPD Authorized official
• CCN General Medicine PLLC

  • Primary Care Clinic/Center
  • Bronx, NY
  • NPI 1902120025
  Medicare reassignment

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1255114039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD STE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563541",
            "telephone_number": "929-606-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD STE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563541",
            "telephone_number": "718-569-7929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 E 169th St Frnt 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104562411",
            "country_code": "US",
            "telephone_number": "347-476-6815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA IZQUIERDO",
        "first_name": "RAUL",
        "middle_name": "ALEJANDRO",
        "name_suffix": "Sr.",
        "credential": ", FNP-BC, CMGT-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "893776",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "893776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Francina Heron
• Paul J Heron, LCSW
• Cassie Herr, FNP
• Janine Ann Herr, NP, RN
• Azucena Micaela Herrera Chancay, MD
• Martha L Herrera-Rojas, PHYSICIAN ASSISTANT
• Adelaida Herrera, CASAC2
• Ana Herrera, COUNSELOR
• Ana Luz Herrera
• Jacqueline Beatris Herrera, MSW

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.