Active NPI
Roberto Jose Herrera, CRTT
- Certified Respiratory Therapist
- St.Cloud, FL
National Provider Identifier
1962686972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- TT4829
- Practice address
- 1705 Cristina Lee Lane
St.Cloud, FL 34769 - Phone
- (321) 652-3527
- NPI assigned
- Dec 27, 2007
- Last updated
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | TT4829 | FL | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TT4829 | FL | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1962686972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 CRISTINA LEE LANE",
"city": "ST.CLOUD",
"state": "FL",
"postal_code": "34769",
"telephone_number": "321-652-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 CRISTINA LEE LANE",
"city": "ST.CLOUD",
"state": "FL",
"postal_code": "34769",
"telephone_number": "321-652-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "ROBERTO",
"middle_name": "JOSE",
"name_prefix": "Mr.",
"credential": "CRTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "FL",
"license": "TT4829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St.Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.