Provider Demographics
NPI:1235188434
Name:BARROCAS, ALEX MARCOS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:MARCOS
Last Name:BARROCAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:151 CRANDON BLVD
Mailing Address - Street 2:#631
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1573
Mailing Address - Country:US
Mailing Address - Phone:305-753-1262
Mailing Address - Fax:
Practice Address - Street 1:7101 SW 99TH AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4661
Practice Address - Country:US
Practice Address - Phone:305-596-9992
Practice Address - Fax:305-596-0942
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 1033352085N0700X, 2085R0204X
MA2261012085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology