Active NPI
Alejandro Jose Herrera Vasquez, MD
- Internal Medicine Physician
- Kenner, LA
National Provider Identifier
1922560903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 332889
- Practice address
- 1918 Williams Blvd
Kenner, LA 70062-6232 - Phone
- (504) 471-4860
- Fax
- (504) 930-4218
- NPI assigned
- Apr 1, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 332889 | LA | Primary |
Addresses
Primary practice location
1918 Williams Blvd
Kenner, LA 70062-6232
Mailing address
1918 Williams Blvd
Kenner, LA 70062-6232
Phone (504) 471-4860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|
| PMR la Holding, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
1918 Williams Blvd
Kenner, LA 70062
Phone (504) 471-4860
3100 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 383-0599
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1922560903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 WILLIAMS BLVD",
"city": "KENNER",
"state": "LA",
"postal_code": "700626232",
"telephone_number": "504-471-4860",
"fax_number": "504-930-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 WILLIAMS BLVD",
"city": "KENNER",
"state": "LA",
"postal_code": "700626232",
"telephone_number": "504-471-4860",
"fax_number": "504-930-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA VASQUEZ",
"first_name": "ALEJANDRO",
"middle_name": "JOSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "332889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.