Active NPI
Cesar Miguel Herrera, M.D.
- General Practice Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN661
- Practice address
- 672 SW Prima Vista Blvd Ste 101
Port St Lucie, FL 34983-1820 - Phone
- (772) 905-2555
- Fax
- (772) 336-8153
- NPI assigned
- Apr 12, 2007
- Last updated
- Feb 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN661 | FL | Primary |
Addresses
Primary practice location
672 SW Prima Vista Blvd Ste 101
Port St Lucie, FL 34983-1820
Mailing address
PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582
Other practice location 1
9109 S US Highway 1 Ste 101
Port St Lucie, FL 34952-3453
Phone (772) 398-1305
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Consultants of Florida, LLC | Current | Accepting new patients |
Locations
9109 S US Highway 1
Ste 101
Port St Lucie, FL 34952
Phone (772) 398-1305
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MedFlorida Medical Centers
- Non-Pharmacy Dispensing Site
- Port St Lucie, FL
- NPI 1396511465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1821212580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4189",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334424189",
"telephone_number": "954-363-9582",
"fax_number": "954-363-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 SW PRIMA VISTA BLVD STE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349831820",
"telephone_number": "772-905-2555",
"fax_number": "772-336-8153"
}
],
"practiceLocations": [
{
"address_1": "9109 S US Highway 1 Ste 101",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349523453",
"country_code": "US",
"telephone_number": "772-398-1305",
"fax_number": "772-398-1307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "CESAR",
"middle_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.