Heriberto Borrero, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12143 Issued in PR

Practice address

Munoz Rivera Esq. Santiago Iglesias
Juana Diaz, PR 00795

Phone

(787) 260-0339

Fax

(787) 260-6147

NPI assigned

Mar 5, 2007

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Grupo Medico Sur-Med

  • General Practice Physician
  • Salinas, PR
  • NPI 1588970131
  Medicare reassignment NPD
• Sur-Med Medical Corp

  • Multi-Specialty Clinic/Center
  • Salinas, PR
  • NPI 1366425050
  Medicare reassignment NPD
• Sur-Med Medical Corp.

  • Clinical Medical Laboratory
  • Salinas, PR
  • NPI 1972594836
  NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1255460150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO. LOS POLLOS CARR.787 KM.0",
            "address_2": "P.O. B0X 965",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-0228",
            "fax_number": "787-260-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA ESQ. SANTIAGO IGLESIAS",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-260-0339",
            "fax_number": "787-260-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRERO",
        "first_name": "HERIBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivelisse Blasini, RPH
• Elisabeth Bonilla
• Marisol Bonilla
• Nery Bonilla
• Shirley Borrero Rodriguez
• Bridges for Health, Inc.
• Alberto Burgos Santiago
• Johanna I Burgos, RPH
• By Kary la Nutri LLC
• C. Rabel, Inc.

• General Practice Physician in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.