Jose Hereira

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

W417353 Issued in FL

Practice address

405 Live Oak LN
Boynton Beach, FL 33436-7116

Phone

(561) 305-2619

NPI assigned

Oct 21, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1427925627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LIVE OAK LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LIVE OAK LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367116",
            "telephone_number": "561-305-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREIRA",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "W417353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Henry
• Keisha Dwynette Henry, LCSW
• Robert Anthony Henry, PTA
• Makahala Hepburn, LCSW
• Tina Hepworth, LCSW
• Loic Hereson, D.C
• Madison Brooke Herington
• Glen A. Herman, MD
• Eric F Hermann, DC
• Yarisley Hernandez Chavez

• Health Maintenance Organization in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.