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LUCIA FERNANDA FONTALVO-HERAZO MD
NPI 1841408879
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since May 21, 2007
34TH STREET AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-2575(215) 590-5797 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lucia Fernanda Fontalvo-herazo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCIA FERNANDA FONTALVO-HERAZO MD (NPI 1841408879) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (LT000622) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1841408879
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameLUCIA FERNANDA FONTALVO-HERAZOCredential: MD
Location Address34TH STREET AND CIVIC CENTER BLVDPhiladelphia, PA 19104-6503
Mailing Address1900 S Broad StPhiladelphia, PA 19145-2304 · (215) 590-2575 · Fax (215) 590-5797
Phone(215) 590-2575
Fax(215) 590-5797
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1841408879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · LT000622
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
34TH STREET AND CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 2

MedicaidPENDINGPA
Medicare ID-Type UnspecifiedPENDINGPA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLEY BOBER CRNP
Nurse Practitioner (Pediatrics)
34TH STREET AND CIVIC CENTER BLVD, CARDIAC CENTER AT CHOP
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6051
MRS. LISA FRANCESCA GERVASI CRNP
Nurse Practitioner (Pediatrics)
34TH STREET AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7262
JASON L KATZ PA-C
Physician Assistant
34TH STREET AND CIVIC CENTER BLVD, 2ND FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (267) 590-1527
DR. ERIN MCKENZIE BLEVINS M.D.
Pediatrics (Pediatric Hematology-Oncology)
34TH STREET AND CIVIC CENTER BLVD, HEMATOLOGY/ONCOLOGY DIVISION
PHILADEPHIA, PA 19104
Philadelphia County (215) 239-5967
TIMOTHY J YEAGER DO
Pediatrics (Pediatric Critical Care Medicine)
34TH STREET AND CIVIC CENTER BLVD, CAA/ SUITE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
KATHRYN MOHR DODDS CRNP
Nurse Practitioner (Pediatrics)
34TH STREET AND CIVIC CENTER BLVD, THE CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (267) 426-5844
MELISSA DURAN CRNP
Nurse Practitioner (Pediatrics)
34TH STREET AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (267) 426-4109
ERIN CARDELL RN CRNP
Nurse Practitioner (Pediatrics)
34TH STREET AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Lucia Fontalvo-herazo's NPI number?

The NPI number for Lucia Fontalvo-herazo is 1841408879. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Lucia Fontalvo-herazo located?

Lucia Fontalvo-herazo practices at 34th Street And Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-2575.

What is Lucia Fontalvo-herazo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Lucia Fontalvo-herazo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.