NPI 1457731267

Shawn Herrera

Practitioner Driver Luquillo, PR

Practice location

Address: Cc2 Calle a Calle 14 de Julio Buzon 454, Luquillo, PR 00773-2611
Phone: (787) 513-7685
Mailing address: PO Box 454, Luquillo, PR 00773-0454

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 6116018 (PR)

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Taxi

Transportation Services Taxonomy 344600000X Licence 6116018 (PR)

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Registry record

NPI: 1457731267
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2015
Record last updated: 6 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.