Individual provider Active NPI

Manuel Lazaro Herrera, M.D.

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1255582805
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME103054 Issued in FL
Practice address
83 W Miller St
Orlando, FL 32806-2031
Phone
(321) 841-5281
Fax
(407) 648-9879
NPI assigned
Oct 1, 2008
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME103054 FL Primary

Addresses

Primary practice location

83 W Miller St
Orlando, FL 32806-2031

Mailing address

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-5281

Other practice location 1

1920 Don Wickham Dr
Suite 325
Clermont, FL 34711-1918
Phone (352) 241-7275

Other identifiers 2

IdentifierTypeStateIssuer
002174400MedicaidFL
ME103054OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100722000511 FL Practitioner - Obstetrics/Gynecology 3274665575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Apr 1, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2011 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 13, 2022 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince May 1, 2011 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 13, 2022 Accepting new patients
Orlando Health Network Inc Past Accepting new patients

Locations

1920 Don Wickham Dr
Ste 325
Clermont, FL 34711
Phone (352) 241-7275

2080 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 241-7275

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mherrera25790@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1255582805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5281",
            "fax_number": "407-648-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5281",
            "fax_number": "407-648-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Don Wickham Dr",
            "address_2": "Suite 325",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111918",
            "country_code": "US",
            "telephone_number": "352-241-7275",
            "fax_number": "352-241-7281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MANUEL",
        "middle_name": "LAZARO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME103054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002174400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME103054",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.