Provider Demographics
NPI:1871783514
Name:HERRERO, RAQUEL CRISTINA (MD)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:CRISTINA
Last Name:HERRERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 AVE WINSTON CHURCHILL
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6604
Mailing Address - Country:US
Mailing Address - Phone:787-760-9638
Mailing Address - Fax:787-760-9639
Practice Address - Street 1:287 AVE WINSTON CHURCHILL
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6604
Practice Address - Country:US
Practice Address - Phone:787-760-9638
Practice Address - Fax:787-760-9639
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR136172084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR13617OtherMD RESIDENT
FLME134862OtherMEDICARE
PR81867OtherTRIPLE S