Individual provider Active NPI

Raquel Cristina Herrero, M.D.

  • Child & Adolescent Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1871783514
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
13617 Issued in PR
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ME134862OtherFLMEDICARE
81867OtherPRTRIPLE S
13617OtherPRMD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018003092 FL Practitioner - Psychiatry 6103008198 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Inc. CurrentSince Jun 6, 2022 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Mindpath Health Florida, PLLC CurrentSince Jul 1, 2018 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Jun 6, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.