Active NPI
Raquel Cristina Herrero, M.D.
- Child & Adolescent Psychiatry Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 13617
- Practice address
- 287 Ave Winston Churchill
San Juan, PR 00926-6604 - Phone
- (787) 760-9638
- Fax
- (787) 760-9639
- NPI assigned
- Jul 30, 2007
- Last updated
- Jun 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 13617 | PR | Primary |
Addresses
Primary practice location
287 Ave Winston Churchill
San Juan, PR 00926-6604
Mailing address
287 Ave Winston Churchill
San Juan, PR 00926-6604
Phone (787) 760-9638
Other practice location 1
8132 King Helie Blvd
New Port Richey, FL 34653-1435
Phone (727) 834-9595
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME134862 | Other | FL | MEDICARE |
| 81867 | Other | PR | TRIPLE S |
| 13617 | Other | PR | MD RESIDENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Mindpath Health Florida, PLLC | Current | Accepting new patients | |
| Baycare Behavioral Health, Inc | Current | Accepting new patients |
Locations
1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700
8132 King Helie Blvd
New Port Richey, FL 34653
Phone (727) 834-3959
7809 Massachusetts Ave
New Prt Rchy, FL 34653
Phone (727) 841-4200
7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200
Interoperability endpoints
- mindfulbehaviorhealth.raquelherrero@147345.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1225312549
-
- Psychiatry Physician
- Coral Springs, FL
- NPI 1467467266
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Trinity, FL
- NPI 1164790648
-
dba BH Mandala Urgent Care
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1801611132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1871783514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 AVE WINSTON CHURCHILL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266604",
"telephone_number": "787-760-9638",
"fax_number": "787-760-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 AVE WINSTON CHURCHILL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266604",
"telephone_number": "787-760-9638",
"fax_number": "787-760-9639"
}
],
"practiceLocations": [
{
"address_1": "8132 King Helie Blvd",
"address_purpose": "LOCATION",
"city": "New Port Richey",
"state": "FL",
"postal_code": "346531435",
"country_code": "US",
"telephone_number": "727-834-9595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERO",
"first_name": "RAQUEL",
"middle_name": "CRISTINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "13617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "ME134862",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "81867",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD RESIDENT",
"identifier": "13617",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.