Individual provider Active NPI

Shawn Herrera

  • Driver
  • Luquillo, PR
National Provider Identifier
1457731267
Registry record updated Jun 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
6116018 Issued in PR
Practice address
CC2 Calle a
Calle 14 de Julio Buzon 454
Luquillo, PR 00773-2611
Phone
(787) 513-7685
NPI assigned
Jun 6, 2015
Last updated
Jun 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 6116018 PR Primary
Taxi 344600000X 6116018 PR

Addresses

Primary practice location

CC2 Calle a
Calle 14 de Julio Buzon 454
Luquillo, PR 00773-2611

Mailing address

PO Box 454
Luquillo, PR 00773-0454
Phone (787) 513-7685

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

State licenses

LicenseStateTypeSpecialty
6116018PRMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433548800000",
    "number": "1457731267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730454",
            "telephone_number": "787-513-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CC2 CALLE A",
            "address_2": "CALLE 14 DE JULIO BUZON 454",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007732611",
            "telephone_number": "787-513-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-06",
        "last_updated": "2015-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "PR",
            "license": "6116018",
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "PR",
            "license": "6116018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luquillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; 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.