Provider Demographics
NPI:1316074800
Name:HERRERA, ROSARIO GUADALUPE (MHRS)
Entity type:Individual
Prefix:
First Name:ROSARIO
Middle Name:GUADALUPE
Last Name:HERRERA
Suffix:
Gender:F
Credentials:MHRS
Other - Prefix:MISS
Other - First Name:ROSIE
Other - Middle Name:G
Other - Last Name:HERRERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:430 CABRILLO AVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3320
Mailing Address - Country:US
Mailing Address - Phone:831-235-7678
Mailing Address - Fax:
Practice Address - Street 1:455 SILICON VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95138-1858
Practice Address - Country:US
Practice Address - Phone:408-284-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker