Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSE D HERRERA
Active Sole ProprietorJOSE D HERRERA is a 171WV0202X healthcare provider located in FAIRFAX, Virginia. NPI 1962855916 is currently active in the NPPES registry. Verify at CMS.
171WV0202X · FAIRFAX, VA
Registration Details
- NPI Number
- 1962855916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2016 (10.102699162377 yrs)
- Last Updated
- Jul 14, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
3158 CEDAR GROVE DRFAIRFAX, VA, 220311708Browse VA providers · Browse ZIP 22031
- Phone
- 7038999918
- Fax
- 7032813203
- Primary Specialty
-
171WV0202X
171WV0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.