Provider Demographics
NPI:1346257888
Name:BARRIDO, MARIBEL G (MD)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:G
Last Name:BARRIDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46952-2649
Mailing Address - Country:US
Mailing Address - Phone:765-662-9870
Mailing Address - Fax:765-662-9907
Practice Address - Street 1:610 N RIVER DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-2649
Practice Address - Country:US
Practice Address - Phone:765-662-9870
Practice Address - Fax:765-662-9907
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01034592207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN084510BMedicare ID - Type Unspecified
INB19783Medicare UPIN