Provider Demographics
NPI:1316986680
Name:HERRERA, ANGEL H (MD)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:H
Last Name:HERRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2450 GOODLETTE RD N
Mailing Address - Street 2:STE 101
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4595
Mailing Address - Country:US
Mailing Address - Phone:239-643-8750
Mailing Address - Fax:239-643-1489
Practice Address - Street 1:2450 GOODLETTE RD N
Practice Address - Street 2:STE 101
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4595
Practice Address - Country:US
Practice Address - Phone:239-643-8750
Practice Address - Fax:239-643-1489
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2009-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0070223207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF89140Medicare UPIN