Provider Demographics
NPI:1942805502
Name:HERRERA, HUGO FERNANDO (CAP, CMHP, ICADC)
Entity type:Individual
Prefix:MR
First Name:HUGO
Middle Name:FERNANDO
Last Name:HERRERA
Suffix:
Gender:M
Credentials:CAP, CMHP, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3010
Mailing Address - Country:US
Mailing Address - Phone:305-999-5251
Mailing Address - Fax:
Practice Address - Street 1:932 PONCE DE LEON BLVD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3010
Practice Address - Country:US
Practice Address - Phone:305-999-5251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)