Provider Demographics
NPI:1285211664
Name:BARRERA, ROXANA (MASTERS)
Entity Type:Individual
Prefix:
First Name:ROXANA
Middle Name:
Last Name:BARRERA
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:MS
Other - First Name:ROXANA
Other - Middle Name:
Other - Last Name:BARRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1004 FRIO ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-8376
Mailing Address - Country:US
Mailing Address - Phone:956-862-1592
Mailing Address - Fax:
Practice Address - Street 1:1004 FRIO ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-8376
Practice Address - Country:US
Practice Address - Phone:956-862-1592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant