Active NPI
Jose E Herrera, DO
- Optician
- Hialeah, FL
National Provider Identifier
1689879538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1494
- Practice address
- 3805 W 16TH Ave
Hialeah, FL 33012-7004 - Phone
- (305) 821-7654
- NPI assigned
- Jun 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1494 | FL | Primary |
Addresses
Primary practice location
3805 W 16TH Ave
Hialeah, FL 33012-7004
Mailing address
2963 SW 24TH Ter
Miami, FL 33145-3335
Phone (305) 444-0084
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1494 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689879538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2963 SW 24TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453335",
"telephone_number": "305-444-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 W 16TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127004",
"telephone_number": "305-821-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "JOSE",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "1494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.