Provider Demographics
NPI:1275847808
Name:BARAS PIER, GELASIO ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:GELASIO
Middle Name:ALBERTO
Last Name:BARAS PIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GELASIO
Other - Middle Name:ALBERTO
Other - Last Name:BARAS AVILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 403451
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-1451
Mailing Address - Country:US
Mailing Address - Phone:786-303-8025
Mailing Address - Fax:305-675-2817
Practice Address - Street 1:11760 SW 40TH ST STE 502
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:305-227-2700
Practice Address - Fax:305-227-2701
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1272972084N0400X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology