Manuel Herrero Granda, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12096 Issued in PR

Practice address

287 Ave Winston Churchill
El Senorial
San Juan, PR 00926-6604

Phone

(787) 210-2986

Fax

(787) 760-9638

NPI assigned

Aug 17, 2006

Last updated

Dec 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Roced Inc

  dba Clinica Medicina de Familia Y Asociados de Guaynabo

  • Primary Care Clinic/Center
  • Guaynabo, PR
  • NPI 1780890483
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1831202456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 AVE WINSTON CHURCHILL",
            "address_2": "EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266604",
            "telephone_number": "787-760-9638",
            "fax_number": "787-760-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 AVE WINSTON CHURCHILL",
            "address_2": "EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266604",
            "telephone_number": "787-210-2986",
            "fax_number": "787-760-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERO GRANDA",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "88017",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "500462E",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFER MEDICAL CHOICE",
            "identifier": "5487",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S OPTIMO",
            "identifier": "88017",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "9042",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Normarie Herrera Rivera
• Agueda Isabel Herrera, M.D
• Brenly Milagros Herrera
• Jose Antonio Herrera, M.D.
• William Diaz Herrera, MD
• Ana I Herrero, P.T.
• Raquel Cristina Herrero, M.D.
• Clery Heughes Pascual, MD
• HG Medical Services PSC
• HHM Radiology

• 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 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.