Provider Demographics
NPI:1326143827
Name:BARROSO, EDUARDO G (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:G
Last Name:BARROSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6141 SUNSET DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5028
Mailing Address - Country:US
Mailing Address - Phone:305-596-7878
Mailing Address - Fax:305-271-3227
Practice Address - Street 1:6141 SUNSET DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5028
Practice Address - Country:US
Practice Address - Phone:305-596-7878
Practice Address - Fax:305-271-3227
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00700412086S0122X, 208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG27530Medicare UPIN
FL31956ZMedicare PIN