Shawn Herrera
Individual provider Active NPI Driver · Luquillo, PR
NPI 1457731267 · NPPES record last updated Jun 6, 2015
Key facts
- NPI
- 1457731267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 6116018 (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
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6116018 | PR | MD | Taxi |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 6116018 | PR | Yes |
| 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
Other providers in Luquillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.