Individual ProviderCarlos Alberto Herrera JimenezStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressBarrio Monacillos, San Juan, PR 00935-0001(787) 777-3535(939) 456-5012PECOS EnrollmentBased on the most recent information from CMS, provider Carlos Alberto Herrera Jimenez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063182848Provider TypeIndividualFull NameHerrera Jimenez, Carlos AlbertoCredentialMDGenderMaleSole ProprietorNoEnumeration Date9/14/2021Last Updated9/14/2021Contact InformationPractice LocationPractice AddressBarrio Monacillos, San Juan, PR 00935-0001Phone(787) 777-3535FaxUnlisted FaxMailing LocationMailing AddressUrb. Villa Nevarez, Calle3, #1107, San Juan, PR 00927Phone(939) 456-5012FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense310-EPuerto RicoProvider IdentifiersIDDescriptionIssuerID7227490DescriptionOtherIssuerDRIVER LICENSE