Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raul Alejandro Herrera Izquierdo Sr., FNP-BC, CMGT-BC

Individual provider Case Management Registered Nurse · NPI 1255114039

Raul Alejandro Herrera Izquierdo Sr., FNP-BC, CMGT-BC is a Nurse Practitioner in Bronx, New York. Qualified in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2023
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1262 Boston Rd Ste 2
Bronx, NY 10456-3541
Phone: (718) 569-7929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 357751 (NY)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 893776 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 893776 (NY)

Record details

NPI number1255114039
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC , CMGT-BC
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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