Roberto Jose Herrera, CRTT

Individual provider Active NPI Certified Respiratory Therapist · St.Cloud, FL

NPI 1962686972 · NPPES record last updated Dec 27, 2007

Key facts

NPI
1962686972
Entity type
Individual (NPI type 1)
Primary specialty
Certified Respiratory Therapist 227800000X
License
TT4829 (FL)
Practice address
1705 Cristina Lee Lane
St.Cloud, FL 34769
Phone
(321) 652-3527
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TT4829FLMDCertified Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X TT4829 FL Yes

Addresses

Primary practice location

1705 Cristina Lee Lane
St.Cloud, FL 34769

Mailing address

1705 Cristina Lee Lane
St.Cloud, FL 34769
Phone (321) 652-3527

Other providers in St.Cloud, FL

All providers in St.Cloud, FL · Certified Respiratory Therapist in Florida

Sources for this page

Verify at the official NPI Registry.