Provider Demographics
NPI:1346377108
Name:BARRETA, COSME B (MD)
Entity Type:Individual
Prefix:MR
First Name:COSME
Middle Name:B
Last Name:BARRETA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9150 ESTATE THOMAS
Mailing Address - Street 2:VI MED FOUNDATION BLDG STE 201
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2400
Mailing Address - Country:US
Mailing Address - Phone:340-774-5665
Mailing Address - Fax:340-776-5448
Practice Address - Street 1:9150 ESTATE THOMAS
Practice Address - Street 2:VI MED FOUNDATION BLDG STE 201
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2400
Practice Address - Country:US
Practice Address - Phone:340-774-5665
Practice Address - Fax:340-776-5448
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2012-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VI174173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine