Organization Active NPI

J Manuel Herrera MD PC

  • Specialist
  • Tucson, AZ
National Provider Identifier
1780869859
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14965 Issued in AZ
Legal business name
J MANUEL HERRERA MD PC
Practice address
1261 N Wilmot Rd
Tucson, AZ 85712-5154
Phone
(520) 722-6858
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dina Fimbres
Title
Office Manager
Phone
(520) 733-1448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 14965 AZ Primary

Addresses

Primary practice location

1261 N Wilmot Rd
Tucson, AZ 85712-5154

Mailing address

1261 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 722-6858

National Provider Directory

National Provider Directory

Locations

1261 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 722-6858

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1780869859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-722-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125154",
            "telephone_number": "520-722-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MANUEL HERRERA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "FIMBRES",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-733-1448"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "14965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.