RAUL J HERRADA MD PA NPI 1649597485

NPI Information

NPI: 1649597485
Provider Name: RAUL J HERRADA MD PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2177 E MICHIGAN ST
SUITE 1
ORLANDO, FL
ZIP 32806
Phone: (407) 896-4147
Get Directions

RAUL J HERRADA MD PA is a cardiovascular disease internal medicine in Orlando, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. RAUL J HERRADA MD PA NPI is 1649597485. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2177 E MICHIGAN ST
SUITE 1
ORLANDO, FL
ZIP 32806-948
Phone: (407) 896-4147
Fax: (407) 895-7182

The provider's authorized official is Leisy H Gonzalez .
The authorized official title is Office Manager and has the following contact phone number (407) 896-4147.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 6/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	ME0026137	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	49038	MEDICARE PIN	FLORIDA
2	D55559	MEDICARE UPIN	FLORIDA
3	038505100	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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