Organization Active NPI

Alberto Herrada DPM PA

  • Podiatrist
  • Cooper City, FL
National Provider Identifier
1518155290
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ALBERTO HERRADA DPM PA
Practice address
10600 Griffin Rd
Suite 107
Cooper City, FL 33328-3208
Phone
(954) 434-9877
Fax
(954) 434-9881
NPI assigned
Oct 9, 2007
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Alberto Herrada, DPMNPI 1013906965
Title
Owner
Phone
(954) 773-6781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

10600 Griffin Rd
Suite 107
Cooper City, FL 33328-3208

Mailing address

10600 Griffin Rd
Suite 107
Cooper City, FL 33328-3208
Phone (954) 434-9877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080114000689 FL Part B Supplier - Clinic/Group Practice 5193806313 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Lauderdale, FL; Lauderdale Lakes, FL; Plantation, FL; Sunrise, FL; Cooper City, FL

National Provider Directory

National Provider Directory

Locations

10600 Griffin Rd
Ste 107
Davie, FL 33328
Phone 95434142001721

10600 Griffin Rd
Ste 107A
Davie, FL 33328
Phone (954) 434-9877

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1518155290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 GRIFFIN RD",
            "address_2": "SUITE 107",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283208",
            "telephone_number": "954-434-9877",
            "fax_number": "954-434-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 GRIFFIN RD",
            "address_2": "SUITE 107",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283208",
            "telephone_number": "954-434-9877",
            "fax_number": "954-434-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTO HERRADA DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "HERRADA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-773-6781",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.