Herrera, Raymond P
Herrera, Raymond P is an sole proprietor health care provider with primary practice located at 113 W Broadway , Farmington NM 87401-6419. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Herrera, Raymond P can be contacted via phone (505) 326-2020.Contact Information
Primary practice address
113 W Broadway
Farmington NM 87401-6419
Phone: (505) 326-2020
Fax: (505) 327-5530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 437 | New Mexico |
Profile Details
| NPI number | 1134132228 |
|---|---|
| LBN Legal business name | Herrera, Raymond P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Oct 9th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134132228 | NPPES |
| New Mexico | MEDICAID | P2124 |
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