Provider Demographics
NPI:1174831085
Name:ANA M BARROCAS MD PA
Entity Type:Organization
Organization Name:ANA M BARROCAS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARROCAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-903-5291
Mailing Address - Street 1:PO BOX 832670
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33283-2670
Mailing Address - Country:US
Mailing Address - Phone:305-903-5291
Mailing Address - Fax:305-383-2615
Practice Address - Street 1:17030 SW 91ST TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4722
Practice Address - Country:US
Practice Address - Phone:305-903-5291
Practice Address - Fax:305-615-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101736207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJN797OtherPTAN