Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
N | 363LF0000X | Nurse Practitioner - Family Medicine | 9268132 | FL |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 9268132 | FL |
NPI | 1013493972 |
---|---|
Provider Name | Ludim E Herrera |
First Address | Miami, FL 33145-1802 |
Second Address | Miami, FL 33125-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2018 |
Last Update Date | 24/03/2021 |