Provider Demographics
NPI:1003894692
Name:BARRIO, JUAN LUIS (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:LUIS
Last Name:BARRIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9495 SW 72ND ST
Mailing Address - Street 2:SUITE B210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3253
Mailing Address - Country:US
Mailing Address - Phone:305-274-3322
Mailing Address - Fax:305-279-9118
Practice Address - Street 1:9495 SW 72ND ST
Practice Address - Street 2:SUITE B210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3253
Practice Address - Country:US
Practice Address - Phone:305-274-3322
Practice Address - Fax:305-279-9118
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME40455207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043417500Medicaid
FLD63979Medicare UPIN
FL043417500Medicaid
FLK5429Medicare ID - Type Unspecified