Provider Demographics
NPI:1073891842
Name:BARRETO, ABELARDO (MASSSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:ABELARDO
Middle Name:
Last Name:BARRETO
Suffix:
Gender:M
Credentials:MASSSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 W 29TH ST
Mailing Address - Street 2:5
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5736
Mailing Address - Country:US
Mailing Address - Phone:305-960-7678
Mailing Address - Fax:305-675-2668
Practice Address - Street 1:50 W 29TH ST
Practice Address - Street 2:5
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5736
Practice Address - Country:US
Practice Address - Phone:305-960-7678
Practice Address - Fax:305-675-2668
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA62684225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist