Organization Active NPI

Acevedo and Herrera MD, Inc

  • Specialist
  • Miami, FL
National Provider Identifier
1992846521
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ACEVEDO AND HERRERA MD, INC
Practice address
351 NW 42ND Ave
Suite 101
Miami, FL 33126-5683
Phone
(306) 649-8870
Fax
(305) 649-3262
NPI assigned
Feb 8, 2007
Organization subpart
Yes
Parent organization
ACEVEDO AND HERRERA MD, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Jose A Herrera, M.D.
Title
Secretary
Phone
(305) 649-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

351 NW 42ND Ave
Suite 101
Miami, FL 33126-5683

Mailing address

351 NW 42ND Ave
Suite 101
Miami, FL 33126-5683
Phone (306) 649-8870

Other identifiers 2

IdentifierTypeStateIssuer
373172300MedicaidFL
90508OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • ACEVEDO & HERRERA MD PA Former legal business name

National Provider Directory

National Provider Directory
Part of
Acevedo and Herrera MD Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1992846521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "306-649-8870",
            "fax_number": "305-649-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "306-649-8870",
            "fax_number": "305-649-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACEVEDO AND HERRERA MD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACEVEDO AND HERRERA MD, INC",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "305-649-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373172300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "90508",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACEVEDO & HERRERA MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.