RAUL ALEJANDRO HERRERA IZQUIERDO SR. , FNP-BC, CMGT-BC
NPI 1255114039
Nurse Practitioner - Family in Bronx, NY
About Raul Alejandro Herrera Izquierdo Sr. , Fnp-bc, Cmgt-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAUL ALEJANDRO HERRERA IZQUIERDO SR. , FNP-BC, CMGT-BC (NPI 1255114039) is an individual family provider in Bronx, New York, licensed in New York (357751) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raul Alejandro Herrera Izquierdo Sr. , Fnp-bc, Cmgt-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10456 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raul Herrera Izquierdo's NPI number?
The NPI number for Raul Herrera Izquierdo is 1255114039. It was assigned to this individual provider in the NPPES registry on August 16, 2023.
Where is Raul Herrera Izquierdo located?
Raul Herrera Izquierdo practices at 1262 Boston Rd Ste 2, Bronx, NY 10456. The listed phone number is (718) 569-7929.
What is Raul Herrera Izquierdo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Raul Herrera Izquierdo enrolled in Medicare?
Yes. Raul Herrera Izquierdo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Raul Herrera Izquierdo was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Raul Alejandro Herrera Izquierdo Sr., , FNP-BC, CMGT-BC · NPI 1255114039
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 16, 2023.
## Identity
- **NPI:** 1255114039 (Entity type: Individual)
- **Enumerated:** August 16, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 357751 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1262 BOSTON RD STE 2, Bronx, NY 10456-3541
- **Phone:** (718) 569-7929
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255114039) · Data from the CMS NPPES public registry.