Raul J Herrada MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0026137 Issued in FL

Legal business name

RAUL J HERRADA MD PA

Practice address

2177 E Michigan St
Suite 1
Orlando, FL 32806-4948

Phone

(407) 896-4147

Fax

(407) 895-7182

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Leisy H Gonzalez

Title

Office Manager

Phone

(407) 896-4147

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1649597485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 EAST MICHIGAN STREET",
            "address_2": "SUITE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064948",
            "telephone_number": "407-896-4147",
            "fax_number": "407-895-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 E MICHIGAN ST",
            "address_2": "SUITE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064948",
            "telephone_number": "407-896-4147",
            "fax_number": "407-895-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL J HERRADA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LEISY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-896-4147",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0026137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038505100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sajjad Ahmed Rattansi, M.D.
• Matthew Ryan Ratti, MD
• Vanessa Marie Ratzlaff, PA-C
• Paul Frank Rauen, MS
• Raul J Beltran
• John Raupp, RBT
• Robert Rausch, RPH
• Yvonne M Rausch, D.M.D.
• Morgan Paige Wright Rauscher, LMHC
• Patricia Hubbard Raval, PA-C

• Cardiovascular Disease Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.