Eduardo Herrera | Tijuana, BAJA CALIFORNIA • PECOS Search

Eduardo Herrera

Dentist

Dental Providers

Paseo Tijuana #406-204, Tijuana, Baja California 22010 (Mexico)

PECOS Enrollment

Based on the most recent information from CMS, provider Eduardo Herrera does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1528569324
Provider Type
Individual
Full Name
Herrera, Eduardo
Title
Dr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/27/2018
Last Updated
2/27/2018

Contact Information

Practice Location

Paseo Tijuana #406-204, Tijuana, Baja California 22010 (Mexico)

(866) 272-6924

Mailing Location

Paseo Tijuana #406-204, Tijuana, Baja California 22010 (Mexico)

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 590017 California