Jose Carlos Herrera Ortiz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22136 Issued in PR

Practice address

264 Calle Fordham
San Juan, PR 00927-4115

Phone

(787) 427-4541

NPI assigned

Jun 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jose Carlos Herrera Ortiz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1801454681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 CALLE FORDHAM",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274115",
            "telephone_number": "787-427-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 CALLE FORDHAM",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274115",
            "telephone_number": "787-427-4541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 191811",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009191811",
            "country_code": "US",
            "telephone_number": "787-763-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA ORTIZ",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "HERRERA ORTIZ",
            "middle_name": "CARLOS",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zailyn Y Hernandez
• Edgar Herran Garcia, RN, BSN, CDE, WSOC
• Idamys Angelica Herrera Abuhazi, M.D.
• Carlos Alberto Herrera Jimenez, MD
• Christina Herrera Ortega, PSY.D
• Bladimir Herrera Perez, PHARMD
• Normarie Herrera Rivera
• Agueda Isabel Herrera, M.D
• Brenly Milagros Herrera
• Jose Antonio Herrera, M.D.

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.