Provider Demographics
NPI:1184037152
Name:BARRIENTOS, RAMON SR (PHD, MCAP, ICADC)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:BARRIENTOS
Suffix:SR
Gender:M
Credentials:PHD, MCAP, ICADC
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:BARRIENTOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, MCAP, ICADC
Mailing Address - Street 1:26502 SW 125TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7925
Mailing Address - Country:US
Mailing Address - Phone:786-339-1804
Mailing Address - Fax:
Practice Address - Street 1:26502 SW 125TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7925
Practice Address - Country:US
Practice Address - Phone:786-339-1804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-08
Last Update Date:2017-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMCAP100107101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)